Organization
DIGNIFIED DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE J PERPICH D.D.S., P.A. (OWNER)
(651) 351-0890
Entity
Organization
Contact information
Practice address
5600 NORWICH PKWY, OAK PARK HEIGHTS, MN 55082-6482
(651) 366-0923
Mailing address
1725 TOWER DR W, SUITE #130, STILLWATER, MN 55082-7585
(651) 351-0890
(651) 351-1922
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
D11196
MN
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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