Organization
DENTISTRY FOR CHILDREN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS CARRRERAS D.M.D. (OWNER/ DENTIST)
(320) 257-3380
Entity
Organization
Contact information
Practice address
140 TWIN RIVERS CT, SARTELL, MN 56377-2015
(320) 257-3380
(320) 257-3382
Mailing address
140 TWIN RIVERS CT, SARTELL, MN 56377-2015
(320) 257-3380
(320) 257-3382
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D10920
MN
1223P0221X
Pediatric Dentistry
D12166
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225195837
—
MN
05
—
551219100
—
MN
Enumeration date
06/12/2012
Last updated
06/12/2012
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