Organization
EAST VALLEYDENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. THIELMAN D.D.S. (OWNER/GENERAL DENTIST)
(952) 423-4414
Entity
Organization
Contact information
Practice address
14050 PILOT KNOB RD, SUITE 108, APPLE VALLEY, MN 55124-6647
(952) 423-4414
(952) 423-7174
Mailing address
14050 PILOT KNOB RD, SUITE 108, APPLE VALLEY, MN 55124-6647
(952) 423-4414
(952) 423-7174
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8510
MN
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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