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Organization

HEART OF THE CITY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TANYA SCHULZ SCHULZ PETERSON DDS (OWNER)
(952) 890-2791
Entity
Organization

Contact information

Practice address
550 W. BURNSVILLE PKWY, SUITE 200, BURNSVILLE, MN 55337
(952) 890-2791
(952) 277-0200
Mailing address
550 W. BURNSVILLE PKWY, SUITE 200, BURNSVILLE, MN 55337
(952) 890-2791
(952) 277-0200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
11137
MN
122300000X
Dentist
Primary
11806
MN
122300000X
Dentist
7600
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28012SC
BCBS
MN
05
427513600
MN
Enumeration date
09/29/2006
Last updated
08/26/2010
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