Minnesota Dental Professionals, P.c.
NPI #1144064700 in Albertville, Minnesota
Provider Information
- NPI Number
- 1144064700
- 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
- Jun 19, 2024
- Last Updated
- Jul 9, 2024
Practice Location
- Address
- 5047 JASON AVE NE
- City
- Albertville
- State
- Minnesota
- ZIP Code
- 55301-9688
- Phone
- (763) 497-8165
Authorized Official
- Name
- CEMYIRA MCDOUGAL
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 764-8609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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