| West Lake Dental Center Pa | |
|
3033 Excelsior Blvd #310 Mpls MN 55416-4683 | |
| (612) 926-9000 | |
| (612) 285-9363 |
| Full Name | West Lake Dental Center Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3033 Excelsior Blvd, Mpls, Minnesota |
| Authorized Official Name and Position | Donald James Mcpartlan (PRESIDENT) |
| Authorized Official Contact | 6129269000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Lake Dental Center Pa 3033 Excelsior Blvd #310 Mpls MN 55416-4683 Ph: (612) 926-9000 | West Lake Dental Center Pa 3033 Excelsior Blvd #310 Mpls MN 55416-4683 Ph: (612) 926-9000 |
| NPI Number | 1235297672 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235297672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |