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Organization
UPTOWN DENTAL ACQUISITION COMPANY
Active
Organization
UPTOWN DENTAL ACQUISITION COMPANY
Active
Other names
Uptown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA FERRERO (OFFICE MANAGER)
(612) 827-3736
Entity
Organization
Contact information
Practice address
1406 W LAKE ST, SUITE 100, MINNEAPOLIS, MN 55408-2653
(612) 827-3736
(612) 821-9626
Mailing address
1406 W LAKE ST, SUITE 100, MINNEAPOLIS, MN 55408-2653
(612) 827-3736
(612) 821-9626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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