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Organization

DENTAL SPECIALIST OF MINNESOTA, PLLC

Active
Other names
The Dental Specialists Edina (PEDS)
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON HESSE (CREDENTIALING SPECIALIST)
(651) 746-2815
Entity
Organization

Contact information

Practice address
6545 FRANCE AVE S STE 340, EDINA, MN 55435-2120
(952) 926-3892
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551
(651) 746-2815

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
11/12/2020
Last updated
11/12/2020
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