Personal Care Dentistry

NPI #1639713126 in Roseville, Minnesota

Provider Information

NPI Number: 1639713126
Entity Type: Organization
Organization Name: Personal Care Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 29, 2019
Last Updated: Oct 29, 2019

Practice Location

Address: 2233 HAMLINE AVE N STE 320
City: Roseville
State: Minnesota
ZIP Code: 55113-5005
Phone: (651) 636-0655

Authorized Official

Name: BRANDY G. FULTON
Title: MGR
Phone: (651) 636-0655

Specialties & Taxonomy Codes

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

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