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Organization

DENTISTRYONE OF MINNESOTA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEREK WEIGAND (OWNER)
(877) 712-7875
Entity
Organization

Contact information

Practice address
8500 NORMANDALE LAKE BLVD STE 350, BLOOMINGTON, MN 55437-3805
(877) 712-7875
Mailing address
20 HIGHLAND AVE, METUCHEN, NJ 08840-1949

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223P0221X
Pediatric Dentistry

Other

Enumeration date
08/06/2024
Last updated
05/13/2025
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