Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Other names
Pilot Knob Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA DENTAL PROFESSIONALS, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
16138 PILOT KNOB RD, LAKEVILLE, MN 55044
(952) 679-7779
(952) 679-7778
Mailing address
16138 PILOT KNOB RD, LAKEVILLE, MN 55044-4105
(952) 679-7779
(952) 679-7778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
06/05/2018
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