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Organization
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Active
Organization
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Active
Other names
The Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN LAW DDS, PHD (PRESIDENT)
(651) 633-0500
Entity
Organization
Contact information
Practice address
3360 NORTHDALE BLVD., COON RAPIDS, MN 55448-1825
(763) 201-6962
(952) 201-1183
Mailing address
2200 COUNTY ROAD C W, SUITE 2210, ROSEVILLE, MN 55113-2550
(651) 633-0500
(651) 636-6894
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
07/21/2022
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