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Organization

REGENTS OF THE UNIVERSITY OF MINNESOTA

Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
University of Minnesota Pediatric Dental Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
KEITH MAYS DDS (DEAN)
(612) 624-2424
Entity
Organization

Contact information

Practice address
701 25TH AVE S STE 400, MINNEAPOLIS, MN 55454-1443
(612) 626-4232
Mailing address
515 DELAWARE ST SE, 7-521 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 659-4900

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
11/21/2024
Last updated
11/21/2024
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