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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
Arbor Lakes Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA DENTAL PROFESSIONALS, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
12000 ELM CREEK BLVD N STE 230, MAPLE GROVE, MN 55369-7075
(763) 251-5280
Mailing address
12000 ELM CREEK BLVD N STE 230, MAPLE GROVE, MN 55369-7075
(763) 251-5280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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