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Organization
ENHANCE DENTAL OF APPLE VALLEY PA
Active
Organization
ENHANCE DENTAL OF APPLE VALLEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH PHAM (PRESIDENT)
(763) 560-1555
Entity
Organization
Contact information
Practice address
15594 PILOT KNOB RD, SUITE# 100, APPLE VALLEY, MN 55124-7295
(651) 452-4111
Mailing address
7532 BROOKLYN BLVD, BROOKLYN PARK, MN 55443-3101
(763) 560-1555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11353
MN
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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