Great Plains Dental
NPI #1891833059 in Chanhassen, Minnesota
Provider Information
- NPI Number
- 1891833059
- Entity Type
- Organization
- Organization Name
- Great Plains Dental
- Primary Specialty
- Dentist
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 500 W 79TH ST
- City
- Chanhassen
- State
- Minnesota
- ZIP Code
- 55317
- Phone
- (952) 934-7987
Authorized Official
- Name
- MR. MARK W DAVIES, DDS
- Title
- OWNER
- Phone
- (952) 934-7987
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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