Organization
JORDAN DENTAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M THELEMANN-ZUNIGA (OWNER-PRESIDENT)
(952) 492-2021
Entity
Organization
Contact information
Practice address
224 BROADWAY ST S, JORDAN, MN 55352-1557
(952) 492-2021
(952) 492-6505
Mailing address
224 BROADWAY ST S, JORDAN, MN 55352-1557
(952) 492-2021
(952) 492-6505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11804
MN
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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