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Organization
CRYSTAL DENTAL CARE INC
Active
Organization
CRYSTAL DENTAL CARE INC
Active
Other names
CRYSTAL DENTAL CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLEE MURPHY DDS (OWNER)
(763) 537-3655
Entity
Organization
Contact information
Practice address
5640 W BROADWAY AVE, CRYSTAL, MN 55428-3556
(176) 353-7365
Mailing address
5640 W BROADWAY AVE, CRYSTAL, MN 55428-3556
(176) 353-7365
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285706317
—
MN
Enumeration date
04/11/2022
Last updated
04/11/2022
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