Organization
A.M DENTAL PROFESSIONALS P.A
Active
Other names
PROGRESSIVE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
AYESHA DOWNS BDS (OWNER)
(952) 445-6220
Entity
Organization
Contact information
Practice address
1036 1ST AVE E, SHAKOPEE, MN 55379
(952) 445-6622
(952) 314-9610
Mailing address
1036 1ST AVE E, SHAKOPEE, MN 55379-1607
(952) 445-6622
(952) 314-9610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D12357
MN
Other
Enumeration date
02/22/2018
Last updated
03/17/2018
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