Dakota Dental Clinic PA
NPI #1063559540 in Apple Valley, Minnesota
Provider Information
- NPI Number
- 1063559540
- Entity Type
- Organization
- Organization Name
- Dakota Dental Clinic PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Aug 15, 2019
Practice Location
- Address
- 14682 PENNOCK AVE
- City
- Apple Valley
- State
- Minnesota
- ZIP Code
- 55124-7429
- Phone
- (952) 431-5774
Authorized Official
- Name
- DR. BENNETT ISABELLA, DDS
- Title
- PRESIDENT
- Phone
- (952) 431-5774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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