Glen Oaks Dental Pllp
NPI #1710054986 in Circle Pines, Minnesota
Provider Information
- NPI Number
- 1710054986
- Entity Type
- Organization
- Organization Name
- Glen Oaks Dental Pllp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2 S PINE DR
- Address 2
- STE M
- City
- Circle Pines
- State
- Minnesota
- ZIP Code
- 55014-1798
- Phone
- (763) 786-8460
Authorized Official
- Name
- DR. PAUL DAVID CRAVEN, DDS
- Title
- GENERAL PARTNER
- Phone
- (763) 786-8460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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