Mendota Heights Dental Center
NPI #1730351214 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1730351214
- Entity Type
- Organization
- Organization Name
- Mendota Heights Dental Center
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 25, 2008
- Last Updated
- Mar 25, 2008
Practice Location
- Address
- 880 SIBLEY MEMORIAL HWY
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55118-1736
- Phone
- (651) 455-4223
Authorized Official
- Name
- PAM J MAXA
- Title
- OFFICE MANAGER
- Phone
- (651) 455-4223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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