Organization
ELAN DENTAL ARTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HARPER PERRY D.D.S. (OWNER)
(952) 447-6290
Entity
Organization
Contact information
Practice address
16154 MAIN AVE SE, SUITE 110A, PRIOR LAKE, MN 55372-4800
(952) 447-6290
(952) 447-6292
Mailing address
16154 MAIN AVE SE, SUITE 110A, PRIOR LAKE, MN 55372-4800
(952) 447-6290
(952) 447-6292
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11026
MN
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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