Organization
PRINVEV DENTAL P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA PRINCEV (OFFICE MANAGER)
(763) 536-1100
Entity
Organization
Contact information
Practice address
4227 WINNETKA AVE N, NEW HOPE, MN 55428-4924
(763) 536-1100
(763) 536-1212
Mailing address
4227 WINNETKA AVE N, NEW HOPE, MN 55428
(763) 536-1100
(763) 536-1212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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