Minnesota Dental Professionals, P.c.
NPI #1245881093 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1245881093
- 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
- Sep 24, 2019
- Last Updated
- Sep 24, 2019
Practice Location
- Address
- 11237 FOLEY BLVD NW
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55448-3389
- Phone
- (763) 757-1234
Authorized Official
- Name
- TABATHA LEMKE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-6078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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