Blue Ridge Dental Center PA
NPI #1952468654 in Minnetonka, Minnesota
Provider Information
- NPI Number
- 1952468654
- Entity Type
- Organization
- Organization Name
- Blue Ridge Dental Center PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 11601 MINNETONKA MILLS RD
- Address 2
- SUITE D
- City
- Minnetonka
- State
- Minnesota
- ZIP Code
- 55305-5161
- Phone
- (952) 938-8858
Authorized Official
- Name
- DR. JUSTIN J MCHUGH, DDS
- Title
- VICE PRESIDENT
- Phone
- (952) 938-8858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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