Minnesota Dental Professionals, P.c.

NPI #1447896733 in Saint Michael, Minnesota

Provider Information

NPI Number
1447896733
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
Nov 21, 2019
Last Updated
Nov 21, 2019

Practice Location

Address
654 CENTRAL AVE E
ZIP Code
55376-9632
Phone
(612) 225-2502

Authorized Official

Name
JESSICA BRITT
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-5100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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