Organization
HERITAGE DENTAL CENTERS, P.A.
Active
Organization
HERITAGE DENTAL CENTERS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY A WILCOX DDS (SECRETARY)
(763) 537-6070
Entity
Organization
Contact information
Practice address
8500 42ND AVE N, NEW HOPE, MN 55427
(763) 537-6070
(763) 537-6076
Mailing address
8500 42ND AVE N, NEW HOPE, MN 55427
(763) 537-6070
(763) 537-6076
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2006
Last updated
10/26/2009
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