Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
Apple Valley Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
7493 147TH ST W STE 100, APPLE VALLEY, MN 55124-7570
(952) 432-7145
Mailing address
7493 147TH ST W STE 100, APPLE VALLEY, MN 55124-7570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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