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Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
U of MN Faculty Practice Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
DR. GARY CARL ANDERSON DDS (DEAN, UOFMN SCHOOL OF DENTISTRY)
(612) 626-6529
Entity
Organization
Contact information
Practice address
515 DELAWARE ST SE, 6-322 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 625-1448
Mailing address
515 DELAWARE ST SE, 6-322 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 625-1448
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2008
Last updated
12/21/2016
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