Organization
WECARE DENTAL OF EAGAN P.C
Active
Other names
Enhance Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH PHAM (PRESIDENT)
(763) 560-1555
Entity
Organization
Contact information
Practice address
1625 LENA COURT SUITE 100, EAGAN, MN 55122
(651) 452-4111
Mailing address
7532 BROOKLYN BLVD, BROOKLYN PARK, MN 55443
(763) 560-1555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11353
MN
Other
Enumeration date
06/13/2014
Last updated
07/03/2014
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