Organization
BIRCHWOOD DENTAL, LLC
Active
Other names
Birchwood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY C LENZ (PRACTICE MANAGER)
(651) 994-1700
Entity
Organization
Contact information
Practice address
3356 SHERMAN CRT STE 101, EAGAN, MN 55121
(651) 994-1700
Mailing address
3356 SHERMAN CRT STE 101, EAGAN, MN 55121
(651) 994-1700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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