Organization
COMMUNITY DENTAL CARE INC
Active
Parent organization
COMMUNITY DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY DENTAL CARE
Authorized official
KORINE C SCHULTZ (HR DIRECTOR)
(651) 925-8427
Entity
Organization
Contact information
Practice address
5700 BOTTINEAU BLVD STE 250, CRYSTAL, MN 55429-3183
(763) 270-5776
Mailing address
1670 BEAM AVE, MAPLEWOOD, MN 55109-1201
(651) 925-8400
(651) 925-8439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/11/2013
Last updated
06/27/2024
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