Organization
BLOCK DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E.M BLOCK (OWNER/DDS)
(952) 440-3222
Entity
Organization
Contact information
Practice address
14070 COMMERCE AVE NE, SUITE 100, PRIOR LAKE, MN 55372-1424
(952) 440-3222
(952) 440-3239
Mailing address
14070 COMMERCE AVE NE, SUITE 100, PRIOR LAKE, MN 55372-1424
(952) 440-3222
(952) 440-3239
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9684
MN
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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