Organization
VENEMAN DENTAL CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK JOHN VENEMAN DDS (PRESIDENT)
(651) 770-7175
Entity
Organization
Contact information
Practice address
1774 COPE AVE, SUITE 110, MAPLEWOOD, MN 55109
(651) 770-7175
(651) 770-6109
Mailing address
1774 COPE AVE, SUITE 110, MAPLEWOOD, MN 55109
(651) 770-7175
(651) 770-6109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10146
MN
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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