Organization
MAPLEWOOD PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAIRE O MIELKE DDS (PEDIATRIC DENTIST)
(651) 779-9002
Entity
Organization
Contact information
Practice address
1915 COUNTY ROAD D E, MAPLEWOOD, MN 55109-5309
(651) 779-9002
(651) 779-9802
Mailing address
1915 COUNTY ROAD D E, MAPLEWOOD, MN 55109-5309
(651) 779-9002
(651) 779-9802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12581
MN
Other
Enumeration date
01/15/2013
Last updated
06/09/2016
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