| Organization Name: | DROEL FAMILY DENTISTRY, PC |
| NPI Number: | 1114324928 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATALIE JEAN DROEL (OWNER) |
| Mailing Address: | 6776 Lake Dr Suite 240 Lino Lakes |
| State: | MN US |
| Postal Code: | 550141191 |
| Phone Number: | 6517843583 |
| Fax Number: | 6517863583 |
| NPI Enumeration Date: | 11/21/2014 |
| NPI Last Update Date: | 11/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |