The Gorman Center for Fine Den
NPI #1790493849 in North Oaks, Minnesota
Provider Information
- NPI Number
- 1790493849
- Entity Type
- Organization
- Organization Name
- The Gorman Center for Fine Den
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 8, 2022
- Last Updated
- Nov 8, 2022
Practice Location
- Address
- 700 VILLAGE CENTER DR
- Address 2
- STE 100
- City
- North Oaks
- State
- Minnesota
- ZIP Code
- 55127-5512
- Phone
- (651) 483-5134
Authorized Official
- Name
- JULIE SAMUELSON
- Title
- ADMINISTRATOR
- Phone
- (612) 703-0118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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