Southridge Dental, PA
NPI #1386166734 in Inver Grove Heights, Minnesota
Provider Information
- NPI Number
- 1386166734
- Entity Type
- Organization
- Organization Name
- Southridge Dental, PA
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 7, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1320 MENDOTA RD
- State
- Minnesota
- ZIP Code
- 55077-1255
- Phone
- (651) 451-1884
Authorized Official
- Name
- SHERYL BOTTJEN TANDON, DDS
- Title
- DENTIST
- Phone
- (651) 451-1884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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