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Organization

MINNESOTA DENTAL PROFESSIONALS, P.C.

Active
Parent organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Other names
City's Edge Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
MINNESOTA DENTAL PROFESSIONALS, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization

Contact information

Practice address
4021 BENJAMIN DR, WOODBURY, MN 55129-2278
(651) 377-1066
(651) 207-4350
Mailing address
4021 BENJAMIN DR, WOODBURY, MN 55129-2278
(651) 377-1066

Taxonomy

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

Other

Enumeration date
11/10/2020
Last updated
01/15/2021
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