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Organization
LERVICK DENTISTRY PLLC
Active
Organization
LERVICK DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET LERVICK DDS (CEO)
(952) 746-0225
Entity
Organization
Contact information
Practice address
5201 EDEN AVE STE 120, EDINA, MN 55436-2358
(952) 746-0225
(952) 746-0227
Mailing address
5201 EDEN AVE STE 120, EDINA, MN 55436-2358
(952) 746-0225
(952) 746-0227
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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