Shoreview Dental Associates

NPI #1679843619 in Shoreview, Minnesota

Provider Information

NPI Number
1679843619
Entity Type
Organization
Organization Name
Shoreview Dental Associates
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 9, 2012
Last Updated
Jan 9, 2012

Practice Location

Address
4700 LEXINGTON AVENUE N
Address 2
SUITE D
ZIP Code
55126
Phone
(651) 483-9800

Authorized Official

Name
MRS. MADELYN PEARSON, D.D.S
Title
DENTIST/CO-OWNER
Phone
(651) 483-9800

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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