Champlin Dentistry, PC

NPI #1194198309 in Champlin, Minnesota

Provider Information

NPI Number: 1194198309
Entity Type: Organization
Organization Name: Champlin Dentistry, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 10, 2015
Last Updated: Nov 10, 2015

Practice Location

Address: 11231 AQUILA DRIVE N
City: Champlin
State: Minnesota
ZIP Code: 55316
Phone: (763) 275-1318

Authorized Official

Name: DR. PAUL S GEBHART, DDS
Title: OWNER
Phone: (763) 275-1318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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