Organization
CARVER DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM HOLDER (OWNER/DENTIST)
(218) 839-0873
Entity
Organization
Contact information
Practice address
4725 DAHLGREN RD, CARVER, MN 55315-2201
(952) 960-9060
(952) 960-9066
Mailing address
4725 DAHLGREN RD, CARVER, MN 55315-2201
(952) 960-9060
(952) 960-9066
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D12924
MN
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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