6460 Dental, PA
NPI #1790181337 in North Branch, Minnesota
Provider Information
- NPI Number
- 1790181337
- Entity Type
- Organization
- Organization Name
- 6460 Dental, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 10, 2014
- Last Updated
- Nov 10, 2014
Practice Location
- Address
- 6460 MAIN ST
- City
- North Branch
- State
- Minnesota
- ZIP Code
- 55056-7068
- Phone
- (651) 674-7096
Authorized Official
- Name
- SARAH M BURT, RDH, MDH
- Title
- OPERATIONS DIRECTOR
- Phone
- (651) 674-7096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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