Northwest Family Dental Center Tn

NPI #1114130010 in Saint Michael, Minnesota

Provider Information

NPI Number
1114130010
Entity Type
Organization
Organization Name
Northwest Family Dental Center Tn
Primary Specialty
Dentist - General Practice
Enumeration Date
May 7, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
12725 43RD ST NE
Address 2
SUITE 202
ZIP Code
55376-4900
Phone
(763) 497-2367

Authorized Official

Name
DAVID A. DESIMONE, D.D.S.
Title
OWNER
Phone
(763) 497-2367

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Individual Providers

Provider Name
DR. Hillary Noelle Mashak Johnson, DMDNewBizBotAI Deep Dive
DR. Eric Todd Carlson, DDSNewBizBotAI Deep Dive
DR. David Albert Desimone, D.D.S.NewBizBotAI Deep Dive

Organizations

Provider Name
Posthumus & Biorn, Inc.NewBizBotAI Deep Dive
Minnesota Dental Professionals, P.c.

Part of Minnesota Dental Professionals, P.c.

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