Organization
DOWNTOWN DENTAL PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH WEILAND (ASSISTANT CONTROLLER)
(608) 343-0818
Entity
Organization
Contact information
Practice address
121 S 8TH ST STE 199, MINNEAPOLIS, MN 55402-2856
(612) 339-5808
Mailing address
8025 EXCELSIOR DR, MADISON, WI 53717-1900
(608) 343-0818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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