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Organization
2010 DENTISTRY, PA
Active
Organization
2010 DENTISTRY, PA
Active
Other names
Crosstown Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK EDWARD MORK III D.D.S. (PRESIDENT)
(612) 866-5014
Entity
Organization
Contact information
Practice address
2010 W 66TH ST, RICHFIELD, MN 55423-2127
(612) 866-5014
(612) 866-5082
Mailing address
2010 W 66TH ST, RICHFIELD, MN 55423-2127
(612) 866-5014
(612) 866-5082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10511
MN
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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