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Organization
HARBOR PLACE DENTAL ASSOCIATES, LTD
Active
Organization
HARBOR PLACE DENTAL ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ROBERT PLETSCHER D.D.S. (PRESIDENT/OWNER)
(651) 484-9229
Entity
Organization
Contact information
Practice address
470 HIGHWAY 96 W, SUITE 200, SHOREVIEW, MN 55126-1996
(651) 484-9229
(651) 484-9221
Mailing address
470 HIGHWAY 96 W, SUITE 200, SHOREVIEW, MN 55126-1996
(651) 484-9229
(651) 484-9221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
682222300
MEDICAL ASSISTANCE
MN
Enumeration date
06/26/2008
Last updated
06/26/2008
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