Organization
ENHANCE DENTAL OF APPLE VALLEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH PHAM (PRESIDENT)
(763) 560-1555
Entity
Organization
Contact information
Practice address
15594 PILOT KNOB RD, SUITE# 100, APPLE VALLEY, MN 55124-7295
(651) 452-4111
Mailing address
7532 BROOKLYN BLVD, BROOKLYN PARK, MN 55443-3101
(763) 560-1555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11353
MN
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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