Organization
BRAVELAND FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F SCHLAEFER DDS (DOCTOR)
(952) 895-0300
Entity
Organization
Contact information
Practice address
2500 COUNTY ROAD 42 W, SUITE 8, BURNSVILLE, MN 55337-6945
(952) 895-0300
Mailing address
2500 COUNTY ROAD 42 W, SUITE 8, BURNSVILLE, MN 55337-6945
(952) 895-0300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9673
MN
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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