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Organization
QUALITY DENTAL CARE, LLC
Active
Organization
QUALITY DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIENG KHAN LEE D.D.S. (OWNER/DENTIST)
(651) 263-6673
Entity
Organization
Contact information
Practice address
6901 78TH AVE N, SUITE 105, BROOKLYN PARK, MN 55445-2720
(651) 263-6673
Mailing address
9131 LOUISIANA AVE N, BROOKLYN PARK, MN 55445-3249
(651) 263-6673
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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