Organization
DAKOTA DENTAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNETT ISABELLA DDS (PRESIDENT)
(952) 431-5774
Entity
Organization
Contact information
Practice address
14682 PENNOCK AVE, APPLE VALLEY, MN 55124-7429
(952) 431-5774
(952) 431-0862
Mailing address
14682 PENNOCK AVE, APPLE VALLEY, MN 55124-7429
(952) 431-5774
(952) 431-0862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9428
MN
Other
Enumeration date
01/31/2007
Last updated
08/15/2019
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