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Organization

DENTAL HEALTH CENTER, DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON S FALKOWSKI DDS (DENTIST OWNER)
(651) 463-2300
Entity
Organization

Contact information

Practice address
19645 PILOT KNOB RD, FARMINGTON, MN 55024-7239
(651) 463-2300
(651) 463-2118
Mailing address
19645 PILOT KNOB RD, FARMINGTON, MN 55024-7239
(651) 463-2300
(651) 463-2118

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10404
MN
122300000X
Dentist
10522
MN
122300000X
Dentist
8018
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
691375000
MEDICAL ASSIST
MN
Enumeration date
05/18/2006
Last updated
01/22/2013
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