Organization
LOOP DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANDREW BATES DDS (PRESIDENT)
(651) 338-6102
Entity
Organization
Contact information
Practice address
207 5TH AVE N, MINNEAPOLIS, MN 55401-1215
(612) 470-4047
Mailing address
2575 HAMLINE AVE N STE F, ROSEVILLE, MN 55113-3175
(651) 636-2373
(651) 636-2374
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D12749
MN
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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