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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
Braveland Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA DENTAL PROFESSIONALS, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
2500 COUNTY ROAD 42 W STE 8, BURNSVILLE, MN 55337
(952) 895-0300
Mailing address
2500 COUNTY ROAD 42 W STE 8, BURNSVILLE, MN 55337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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