Michael Henrickson DDS
NPI #1992571293 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1992571293
- Entity Type
- Organization
- Organization Name
- Michael Henrickson DDS
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 28, 2023
- Last Updated
- Nov 28, 2023
Practice Location
- Address
- 14050 NICOLLET AVE STE 205
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-5738
- Phone
- (952) 435-4177
Authorized Official
- Name
- MIKE RYAN HENRICKSON, DDS
- Title
- AUTHORIZED OFFICIAL
- Phone
- (651) 777-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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