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Organization
A.M DENTAL PROFESSIONALS P.A
Active
Organization
A.M DENTAL PROFESSIONALS P.A
Active
Other names
PROGRESSIVE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
AYESHA DOWNS BDS (OWNER)
(952) 445-6220
Entity
Organization
Contact information
Practice address
1036 1ST AVE E, SHAKOPEE, MN 55379
(952) 445-6622
(952) 314-9610
Mailing address
1036 1ST AVE E, SHAKOPEE, MN 55379-1607
(952) 445-6622
(952) 314-9610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D12357
MN
Other
Enumeration date
02/22/2018
Last updated
03/17/2018
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