Organization
FAMILY PEDIATRIC DENTAL SPECIALISTS PLC
Active
Parent organization
FAMILY PEDIATRIC DENTAL SPECIALISTS PLC
Other names
Metro Dentalcare Children's Dentistry Burnsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY PEDIATRIC DENTAL SPECIALISTS PLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
14336 BURNHAVEN DR, BURNSVILLE, MN 55306-4928
(952) 435-5715
Mailing address
14336 BURNHAVEN DR, BURNSVILLE, MN 55306-4928
(952) 435-5715
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
04/27/2022
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