Organization
THE DENTAL SPECIALIST OF MINNESOTA, PLLC
Active
Other names
Northern Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON HESSE (CREDENTIALING SPECIALIST)
(651) 746-2815
Entity
Organization
Contact information
Practice address
324 W SUPERIOR ST STE 824, DULUTH, MN 55802-1718
(218) 727-7557
(218) 727-1182
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551
(651) 746-2815
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
10/28/2020
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