Organization
SOUTHRIDGE DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL BOTTJEN TANDON DDS (DENTIST)
(651) 451-1884
Entity
Organization
Contact information
Practice address
1320 MENDOTA RD, INVER GROVE HEIGHTS, MN 55077-1255
(651) 451-1884
(651) 306-9709
Mailing address
1320 MENDOTA RD, INVER GROVE HEIGHTS, MN 55077-1255
(651) 451-1884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12847
MN
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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