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Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Other names
Riverside Valley Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA DENTAL PROFESSIONALS, P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
8350 HANSEN AVE, SHAKOPEE, MN 55379-1038
(612) 213-2264
(612) 213-2663
Mailing address
8350 HANSEN AVE, SHAKOPEE, MN 55379-1038
(612) 213-2264
(612) 213-2663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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