Uptown Dental Acquisition Company
NPI #1659458974 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1659458974
- Entity Type
- Organization
- Organization Name
- Uptown Dental Acquisition Company
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1406 W LAKE ST
- Address 2
- SUITE 100
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55408-2653
- Phone
- (612) 827-3736
Authorized Official
- Name
- TAMARA FERRERO
- Title
- OFFICE MANAGER
- Phone
- (612) 827-3736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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