Michael R Henrickson Dds, Pllc

NPI #1700302742 in Burnsville, Minnesota

Provider Information

NPI Number: 1700302742
Entity Type: Organization
Organization Name: Michael R Henrickson Dds, Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 22, 2017
Last Updated: Aug 22, 2017

Practice Location

Address: 14050 NICOLLET AVE
Address 2: 205
City: Burnsville
State: Minnesota
ZIP Code: 55337
Phone: (952) 435-4177

Authorized Official

Name: CRYSTAL MILLER, OM
Title: MANAGER
Phone: (651) 777-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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