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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOUNTAIN LAKE FAMILY DENTAL

Active Organization

Dental Clinic · ALBERT LEA, MN

Registration Details

NPI Number
1104435585
Provider Type
Organization
NPI Issued
Jul 30, 2020 (5.7462781178437 yrs)
Last Updated
Jul 30, 2020

Practice Information

Address
146 W CLARK ST
ALBERT LEA, MN, 560072546
Browse MN providers · Browse ZIP 56007
Phone
5073733323
Fax
5073734513
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in ALBERT LEA, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.