Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Other names
Dental Care of Brooklyn Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA DENTAL PROFESSIONALS, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
5901 94TH AVE N STE 105, BROOKLYN PARK, MN 55443-2389
(763) 703-2512
Mailing address
5901 94TH AVE N STE 105, BROOKLYN PARK, MN 55443-2389
(763) 717-0020
(763) 432-0821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
08/14/2019
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