Organization
SUMMIT DENTAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK WILLIAM MARKSBERRY DDS (OWNER)
(763) 757-4170
Entity
Organization
Contact information
Practice address
10756 BUTTERNUT ST NW, COON RAPIDS, MN 55448-4448
(763) 757-4170
(763) 757-7940
Mailing address
10756 BUTTERNUT ST NW, COON RAPIDS, MN 55448-4448
(763) 757-4170
(763) 757-7940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11789
MN
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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