Minnesota Dental Professionals, P.c.
NPI #1073063103 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1073063103
- Entity Type
- Organization
- Organization Name
- Minnesota Dental Professionals, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MINNESOTA DENTAL PROFESSIONALS, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 13, 2016
- Last Updated
- Oct 13, 2016
Practice Location
- Address
- 825 NICOLLET MALL
- Address 2
- STE 425
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55402-2606
- Phone
- (612) 332-7675
Authorized Official
- Name
- CASSANDRA N TEUTSCH
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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