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Organization

REGENTS OF THE UNIVERSITY OF MINNESOTA

Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
GARY CARL ANDERSON DDS (DEAN, UOFMN SCHOOL OF DENTISTRY)
(612) 626-6529
Entity
Organization

Contact information

Practice address
515 DELAWARE ST SE, 6TH FLOOR MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 625-6444
Mailing address
515 DELAWARE ST SE, 7-530 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 626-6529

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
778172200
MN
Enumeration date
03/26/2007
Last updated
12/21/2016
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