Chanhassen Dental

NPI #1538112180 in Chanhassen, Minnesota

Provider Information

NPI Number: 1538112180
Entity Type: Organization
Organization Name: Chanhassen Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: May 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 480 W 78TH ST
Address 2: SUITE #116
City: Chanhassen
State: Minnesota
ZIP Code: 55317-4527
Phone: (952) 934-3383

Authorized Official

Name: MRS. JOLEEN KAY HALL
Title: BUSINESS MANAGER
Phone: (952) 934-3383

Specialties & Taxonomy Codes

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

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