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Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
Advanced Dental Therapist - NP Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
LEON ASSAEL DDS (DEAN, UOFMN SCHOOL OF DENTISTRY)
(612) 626-6529
Entity
Organization
Contact information
Practice address
814 S 3RD STREET, MINNEAPOLIS, MN 55415
(612) 626-6529
Mailing address
515 DELAWARE ST SE, 7-530 MOOSTOWER, MINNEAPOLIS, MN 55455-0357
(612) 626-6529
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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