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Organization

BIRCHWOOD DENTAL OF MINNEAPOLIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL J CARLSON DDS (PRESIDENT)
(612) 333-8677
Entity
Organization

Contact information

Practice address
825 NICOLLET MALL, 829 MEDICAL ARTS BLDG, MINNEAPOLIS, MN 55402-2606
(612) 333-8677
(612) 333-7632
Mailing address
825 NICOLLET MALL, 829 MEDICAL ARTS BLDG, MINNEAPOLIS, MN 55402-2606
(612) 333-8677
(612) 333-7632

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11280
MN

Other

Enumeration date
05/21/2007
Last updated
12/10/2008
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