Organization
ROGERS DENTAL CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA ELIZABETH MCVEIGH HEISLER DDS (PRESIDENT)
(763) 428-2217
Entity
Organization
Contact information
Practice address
21410 136TH AVE NORTH SUITE #109, ROGERS, MN 55374
(763) 428-2217
(763) 428-8586
Mailing address
21410 136TH AVE NORTH SUITE #109, ROGERS, MN 55374
(763) 428-2217
(763) 428-8586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9395
MN
Other
Enumeration date
11/10/2006
Last updated
07/02/2019
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