Msp Dentistry INC

NPI #1124544895 in Andover, Minnesota

Provider Information

NPI Number
1124544895
Entity Type
Organization
Organization Name
Msp Dentistry INC
Subpart
Yes (part of a larger organization)
Parent Organization
MSP DENTISTRY INC.
Primary Specialty
Preferred Provider Organization
Enumeration Date
Aug 15, 2017
Last Updated
Aug 15, 2017

Practice Location

Address
13650 HANSON BLVD.
Address 2
SUITE #110
ZIP Code
55304
Phone
(763) 421-7900

Authorized Official

Name
MAJID FEHRESTI, DDS
Title
OWNER/DDS
Phone
(763) 421-7900

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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