Organization
ALL FAMLIY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEANNE CAROL RUNNING RDA (DENTAL ASSISTANT)
(651) 731-2141
Entity
Organization
Contact information
Practice address
1075 HADLEY AVE N, OAKDALE, MN 55128-5951
(651) 731-2141
(651) 731-3601
Mailing address
1075 HADLEY AVE N, OAKDALE, MN 55128-5951
(651) 731-2141
(651) 731-3601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9829
MN
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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