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Organization

REGENTS OF THE UNIVERSITY OF MINNESOTA

Active
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Organization

REGENTS OF THE UNIVERSITY OF MINNESOTA

Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
Hibbing Community College Dental Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
GARY CARL ANDERSON DDS (DEAN)
(612) 626-6529
Entity
Organization

Contact information

Practice address
1515 E 25TH ST, ROOM C-153, HIBBING, MN 55746-3354
(218) 263-2917
(218) 263-2971
Mailing address
1515 E 25TH ST, ROOM C-153, HIBBING, MN 55746-3354
(218) 263-2917
(218) 263-2971

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
936450100
MN
Enumeration date
10/24/2006
Last updated
12/21/2016
About Stedi
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