Glen Lake Dental
Glen Lake Dental is a Dental Clinic/Center in Minnetonka, Minnesota. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
14421 Excelsior BlvdMinnetonka, MN 55345-5821
Phone: (952) 935-5212
Fax: (952) 935-1391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1376386607 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristy Taran — Dentist · (952) 935-5212 |
| NPI enumerated | June 14, 2024 |
| Last updated in NPPES | June 14, 2024 |
| Certification date | June 14, 2024 |
| Mailing address | 14421 Excelsior Blvd, Minnetonka, MN 55345-5821 |
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