Persona Dental P.c.

NPI #1316118839 in Sartell, Minnesota

Provider Information

NPI Number: 1316118839
Entity Type: Organization
Organization Name: Persona Dental P.c.
Primary Specialty: Dentist
Enumeration Date: Mar 13, 2008
Last Updated: Jun 24, 2008

Practice Location

Address: 2385 TROOP DR
Address 2: SUITE 201
City: Sartell
State: Minnesota
ZIP Code: 56377
Phone: (320) 251-2972

Authorized Official

Name: TAMMY M HINES, CDA, RDA
Title: OFFICE COORDINATOR
Phone: (320) 251-2972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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