Organization
ACTION DENTAL
Active
Parent organization
ACTION FOR EAST AFRICAN PEOPLE AFEAP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTION FOR EAST AFRICAN PEOPLE AFEAP
Authorized official
AYAN ABUKAR (EXECUTIVE DIRECTOR)
(612) 458-6830
Entity
Organization
Contact information
Practice address
10584 FRANCE AVE S, BLOOMINGTON, MN 55431-3538
(952) 305-6189
Mailing address
3701 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55431-3555
(612) 458-6830
(651) 431-7462
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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