Organization
FAMILY PERIODONTIC SPECIALISTS, PLC
Active
Parent organization
FAMILY PERIODONTIC SPECIALISTS, PLC
Other names
Metro Dentalcare Specialty Center Richfield - Periodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY PERIODONTIC SPECIALISTS, PLC
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
6601 LYNDALE AVE S STE 220, RICHFIELD, MN 55423-2493
(612) 861-9123
Mailing address
6601 LYNDALE AVE S STE 220, RICHFIELD, MN 55423-2493
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
08/10/2022
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