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Organization
MN DENTISTRY, PC
Active
Organization
MN DENTISTRY, PC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VAN CAMP (PROVIDER RELATIONS SPECIALIST)
(315) 464-6000
Entity
Organization
Contact information
Practice address
3570 RIVER RAPIDS DRIVE NW, STE 110, COOR RAPIDS, MN 55448
(315) 454-6000
(866) 803-4943
Mailing address
3570 RIVER RAPIDS DRIVE NW, STE 110, COOR RAPIDS, MN 55448
(315) 454-6000
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13479
MN
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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