Msp Dentistry, Inc.

NPI #1558719922 in Champlin, Minnesota

Provider Information

NPI Number
1558719922
Entity Type
Organization
Organization Name
Msp Dentistry, Inc.
Primary Specialty
Preferred Provider Organization
Enumeration Date
May 26, 2016
Last Updated
May 26, 2016

Practice Location

Address
12027 BUSINESS PARK BLVD N
ZIP Code
55316-4526
Phone
(763) 421-7900

Authorized Official

Name
DR. MAJID FEHRESTI, D.D.S.
Title
OWNER/DENTIST
Phone
(763) 421-7900

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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