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Organization
WECARE DENTAL OF EAGAN P.C
Active
Organization
WECARE DENTAL OF EAGAN P.C
Active
Other names
Enhance Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH PHAM (PRESIDENT)
(763) 560-1555
Entity
Organization
Contact information
Practice address
1625 LENA COURT SUITE 100, EAGAN, MN 55122
(651) 452-4111
Mailing address
7532 BROOKLYN BLVD, BROOKLYN PARK, MN 55443
(763) 560-1555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11353
MN
Other
Enumeration date
06/13/2014
Last updated
07/03/2014
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