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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
Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
GARY CARL ANDERSON DDS (DEAN, UOFMN SCHOOL OF DENTISTRY)
(612) 626-6529
Entity
Organization
Contact information
Practice address
515 DELAWARE ST SE, 6TH FLOOR MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 625-6444
Mailing address
515 DELAWARE ST SE, 7-530 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 626-6529
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
778172200
—
MN
Enumeration date
03/26/2007
Last updated
12/21/2016
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