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Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Other names
Dental Arts of Minneapolis
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA DENTAL PROFESSIONALS, P.C.
Authorized official
CASSANDRA N TEUTSCH (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL, STE 425, MINNEAPOLIS, MN 55402-2606
(612) 332-7675
Mailing address
825 NICOLLET MALL, STE 425, MINNEAPOLIS, MN 55402-2606
(612) 332-7675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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