Organization
COMMUNITY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORINE CARLSON (HR DIRECTOR)
(651) 925-8427
Entity
Organization
Contact information
Practice address
2120 HIGHWAY 14 E, ROCHESTER, MN 55904-5101
(507) 258-4046
Mailing address
2120 HIGHWAY 14 E, ROCHESTER, MN 55904-5101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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