Al M Virgen Dmd PA
NPI #1801068358 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1801068358
- Entity Type
- Organization
- Organization Name
- Al M Virgen Dmd PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 25, 2008
- Last Updated
- Oct 4, 2013
Practice Location
- Address
- 7501 80TH ST S
- Address 2
- SUITE 2
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-3020
- Phone
- (651) 459-7888
Authorized Official
- Name
- DR. AL M VIRGEN, DMD
- Title
- CEO
- Phone
- (651) 459-7888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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