Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Other names
Albertville Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA DENTAL PROFESSIONALS, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
5047 JASON AVE NE, ALBERTVILLE, MN 55301-9688
(763) 497-8165
Mailing address
5047 JASON AVE NE, ALBERTVILLE, MN 55301-9688
(763) 497-8165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
07/09/2024
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