Organization
CRYSTAL DENTAL CARE INC
Active
Other names
CRYSTAL DENTAL CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLEE MURPHY DDS (OWNER)
(763) 537-3655
Entity
Organization
Contact information
Practice address
5640 W BROADWAY AVE, CRYSTAL, MN 55428-3556
(176) 353-7365
Mailing address
5640 W BROADWAY AVE, CRYSTAL, MN 55428-3556
(176) 353-7365
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285706317
—
MN
Enumeration date
04/11/2022
Last updated
04/11/2022
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