Minnesota Dental Surgery Pllc
NPI #1124478607 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1124478607
- Entity Type
- Organization
- Organization Name
- Minnesota Dental Surgery Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 15, 2016
- Last Updated
- Jun 15, 2016
Practice Location
- Address
- 9801 DUPONT AVE S
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-3100
- Phone
- (952) 215-7419
Authorized Official
- Name
- DR. BENNETT ISABELLA, DDS
- Title
- CEO
- Phone
- (952) 215-7419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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