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Organization

AFFILIATED PEDIATRIC DENTISTS PA

Active
Other names
DENTISTRY FOR CHILDREN & ADOLESCENTS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK EDWARD GREENWOOD D.D.S. (TREASURER)
(952) 831-4400
Entity
Organization

Contact information

Practice address
14050 NICOLLET AVENUE SOUTH, SUITE 100, BURNSVILLE, MN 55337-5737
(952) 435-4102
(952) 435-8925
Mailing address
7373 FRANCE AVENUE SOUTH, SUITE 402, EDINA, MN 55435-4558
(952) 831-4400
(952) 893-3041

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
07/31/2008
Last updated
07/31/2008
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