Organization
COMMUNITY DENTAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORINE CARLSON (HR DIRECTOR)
(651) 925-8400
Entity
Organization
Contact information
Practice address
3650 BRADDOCK AVE NE, BUFFALO, MN 55313-3666
(651) 925-8400
Mailing address
1670 BEAM AVE STE 204, MAPLEWOOD, MN 55109-1227
(651) 925-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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