Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
Hibbing Community College Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
GARY CARL ANDERSON DDS (DEAN)
(612) 626-6529
Entity
Organization
Contact information
Practice address
1515 E 25TH ST, ROOM C-153, HIBBING, MN 55746-3354
(218) 263-2917
(218) 263-2971
Mailing address
1515 E 25TH ST, ROOM C-153, HIBBING, MN 55746-3354
(218) 263-2917
(218) 263-2971
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
936450100
—
MN
Enumeration date
10/24/2006
Last updated
12/21/2016
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