Dental Health Center of Mn
NPI #1982877064 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1982877064
- Entity Type
- Organization
- Organization Name
- Dental Health Center of Mn
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Apr 9, 2008
- Last Updated
- Apr 9, 2008
Practice Location
- Address
- 4820 MINNETONKA BLVD STE 202
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-5707
- Phone
- (952) 929-2388
Authorized Official
- Name
- SOLONGO PUREV
- Title
- DMD
- Phone
- (952) 929-2388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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