| Venetia Laganis, Dds, Pa | |
|
13998 Maple Knoll Way Suite 101 Maple Grove MN 55369-7004 | |
| (763) 420-2610 | |
| (763) 494-4390 |
| Full Name | Venetia Laganis, Dds, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13998 Maple Knoll Way, Maple Grove, Minnesota |
| Authorized Official Name and Position | Venetia Laganis (PEDIATRIC DENTIST / OWNER) |
| Authorized Official Contact | 7634202610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Venetia Laganis, Dds, Pa 13998 Maple Knoll Way Suite 101 Maple Grove MN 55369-7004 Ph: (763) 420-2610 | Venetia Laganis, Dds, Pa 13998 Maple Knoll Way Suite 101 Maple Grove MN 55369-7004 Ph: (763) 420-2610 |
| NPI Number | 1558536151 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558536151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D10845 (Minnesota) | Primary |
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