Organization
A GENTLE DENTAL CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM F PUCEL D.D.S. (PRESIDENT)
(763) 537-4531
Entity
Organization
Contact information
Practice address
4930 42ND AVE N, ROBBINSDALE, MN 55422-1731
(763) 537-4531
Mailing address
4930 42ND AVE N, ROBBINSDALE, MN 55422-1731
(763) 537-4531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7592D
MN
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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