Organization
BOGER-TRI DENTAL, P.L.L.C.
Active
Other names
Minnetonka Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA TRI DDS (DENTIST)
(952) 474-7057
Entity
Organization
Contact information
Practice address
17909 DELTON AVE, MINNETONKA, MN 55345-4139
(952) 474-7057
Mailing address
17909 HIGHWAY 7, MINNETONKA, MN 55345-4139
(952) 474-7057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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