Organization
NICOLLET MALL DENTAL ARTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORAH HOVERSON DDS (PRESIDENT)
(218) 791-5380
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL STE 1737, MINNEAPOLIS, MN 55402-2704
(612) 332-1164
Mailing address
2836 COLFAX AVE S APT E436, MINNEAPOLIS, MN 55408-4855
(218) 791-5380
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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