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Organization

REGENTS OF THE UNIVERSITY OF MINNESOTA

Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
Faculty Practice Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
GARY CARL ANDERSON DDS (DEAN, UOFMN SCHOOL OF DENTISTRY)
(612) 626-6529
Entity
Organization

Contact information

Practice address
516 DELAWARE ST SE, 7TH FLOOR PWB, MINNEAPOLIS, MN 55455-0356
(612) 626-3233
Mailing address
516 DELAWARE ST SE, 7TH FLOOR PWB, MINNEAPOLIS, MN 55455-0329
(612) 626-3233

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/29/2007
Last updated
12/21/2016
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