Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Other names
Town Center Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA DENTAL PROFESSIONALS, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
654 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9632
(612) 225-2502
Mailing address
654 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9632
(612) 225-2502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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