Organization
M D SWEEN D.D.S. PA
Active
Other names
M D Sween D.D.S. PA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DUANE SWEEN DDS (DOCTOR OF DENTAL SURGERY)
(763) 521-2254
Entity
Organization
Contact information
Practice address
3548 NOBLE AVE N, CRYSTAL, MN 55422-2866
(763) 521-2254
(763) 521-5263
Mailing address
3548 NOBLE AVE N, CRYSTAL, MN 55422-2866
(763) 521-2254
(763) 521-5263
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216652000
—
MN
Enumeration date
07/23/2009
Last updated
07/23/2009
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