Organization
ROBBINSDALE FAMILY DENTISTRY, P.A.
Active
Other names
Minnesota Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL BENTON FITZSIMMONS D.D.S. (PRESIDENT)
(763) 537-5123
Entity
Organization
Contact information
Practice address
4125 LAKELAND AVE N, 100, ROBBINSDALE, MN 55422-1852
(763) 537-5123
Mailing address
4125 LAKELAND AVE N, 100, ROBBINSDALE, MN 55422-1852
(763) 537-5123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11044
MN
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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