Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
Mosaic Dental-Eagan
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
4555 ERIN DR STE 180, EAGAN, MN 55122-3334
(651) 681-9044
Mailing address
4555 ERIN DR STE 180, EAGAN, MN 55122-3334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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