Organization
NORTHLAND DENTAL PARTNERS, PLLC
Active
Parent organization
NORTHLAND DENTAL PARTNERS, PLLC
Other names
Metro Dentalcare Blaine 10
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHLAND DENTAL PARTNERS, PLLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
261 COUNTY ROAD 10 NE STE 10, BLAINE, MN 55434-1020
(763) 786-9644
Mailing address
261 COUNTY ROAD 10 NE STE 10, BLAINE, MN 55434-1020
(763) 786-9644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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