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Organization
EAGAN DENTAL ASSOCIATES DBA NORTHWOOD DENTAL
Active
Organization
EAGAN DENTAL ASSOCIATES DBA NORTHWOOD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN JEFFREY TAPLE DDS (DDS/OWNER)
(651) 687-0789
Entity
Organization
Contact information
Practice address
1227 NORTHWOOD PKWY, EAGAN, MN 55121-4204
(651) 687-0789
(651) 687-0902
Mailing address
1227 NORTHWOOD PKWY, EAGAN, MN 55121-4204
(651) 687-0789
(651) 687-0902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10386
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891749362
—
MN
05
—
405522500
—
MN
05
—
565522600
—
MN
Enumeration date
05/20/2006
Last updated
06/24/2008
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