Birchwood Dental of Minneapolis

NPI #1043429970 in Minneapolis, Minnesota

Provider Information

NPI Number: 1043429970
Entity Type: Organization
Organization Name: Birchwood Dental of Minneapolis
Primary Specialty: Dentist - General Practice
Enumeration Date: May 21, 2007
Last Updated: Dec 10, 2008

Practice Location

Address: 825 NICOLLET MALL
Address 2: 829 MEDICAL ARTS BLDG
City: Minneapolis
State: Minnesota
ZIP Code: 55402-2606
Phone: (612) 333-8677

Authorized Official

Name: DR. DANIEL J CARLSON, DDS
Title: PRESIDENT
Phone: (612) 333-8677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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