Organization
APPLE VALLEY MODERN DENTISTRY, PC
Active
Other names
Apple Valley Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK HOUCK DDS (OWNER)
(952) 248-4411
Entity
Organization
Contact information
Practice address
15050 CEDAR AVE STE 119, APPLE VALLEY, MN 55124-7046
(952) 248-4411
(952) 232-5213
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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