Organization
MINNEAPOLIS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRIE K HODD D.D.S. (DENTIST)
(612) 332-1255
Entity
Organization
Contact information
Practice address
150 S 5TH ST STE 1475, MINNEAPOLIS, MN 55402-4212
(612) 332-1255
(612) 388-3721
Mailing address
150 S 5TH ST STE 1475, MINNEAPOLIS, MN 55402-4212
(612) 332-1255
(612) 388-3721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10117
MN
122300000X
Dentist
D7958
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411700790
DELTA
MN
Enumeration date
03/31/2009
Last updated
03/31/2009
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