Plymouth Dental Care PC

NPI #1730384280 in Plymouth, Minnesota

Provider Information

NPI Number: 1730384280
Entity Type: Organization
Organization Name: Plymouth Dental Care PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4000 ANNAPOLIS LN N
Address 2: SUITE 103
City: Plymouth
State: Minnesota
ZIP Code: 55447-5480
Phone: (763) 551-0501

Authorized Official

Name: DR. P. LOUIS MICHELICH, D.D.S.
Title: PRESIDENT
Phone: (763) 551-0501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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