Organization
FRONTLINE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST JUEAN DDS (DENTIST)
(763) 225-7033
Entity
Organization
Contact information
Practice address
4045 BROOKSIDE AVE, ST LOUIS PARK, MN 55416-2808
(763) 225-7033
Mailing address
6973 ARCHER PL, INVER GROVE HEIGHTS, MN 55077-1000
(763) 225-7033
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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