Organization
ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS
Active
Parent organization
ENDODONTIC PROFESSIONALS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENDODONTIC PROFESSIONALS PA
Authorized official
THOMAS A KARN DMD (VICE PRESIDENT)
(763) 416-3619
Entity
Organization
Contact information
Practice address
12000 ELM CREEK BLVD, SUITE 240, MAPLE GROVE, MN 55369
(763) 416-3619
(763) 416-3695
Mailing address
12000 ELM CREEK BLVD, SUITE 240, MAPLE GROVE, MN 55369
(763) 416-3619
(763) 416-3695
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6500003
MN
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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