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Organization
FOREST DENTAL GROUP
Active
Organization
FOREST DENTAL GROUP
Active
Other names
Mint Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARWA GAMAM-FOREST DDS (OWNER)
(763) 300-8971
Entity
Organization
Contact information
Practice address
7550 FRANCE AVE S STE 138, EDINA, MN 55435-4761
(763) 300-8971
Mailing address
5625 NEWTON AVE S, MINNEAPOLIS, MN 55419-1530
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D13250
MN
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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