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Organization
COMMUNITY DENTAL CARE INC
Active
Organization
COMMUNITY DENTAL CARE INC
Active
Parent organization
COMMUNITY DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY DENTAL CARE
Authorized official
KORINE C SCHULTZ (HR DIRECTOR)
(651) 925-8427
Entity
Organization
Contact information
Practice address
5700 BOTTINEAU BLVD STE 250, CRYSTAL, MN 55429-3183
(763) 270-5776
Mailing address
1670 BEAM AVE, MAPLEWOOD, MN 55109-1201
(651) 925-8400
(651) 925-8439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/11/2013
Last updated
06/27/2024
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