Organization
GEORGE DENTAL APPLE VALLEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARB KING (CLINICAL OPERATIONS MANAGER)
(651) 287-3729
Entity
Organization
Contact information
Practice address
14135 CEDAR AVE, SUITE 500, APPLE VALLEY, MN 55124-4522
(952) 891-4611
Mailing address
14135 CEDAR AVENUE S., SUITE 500, APPLE VALLEY, MN 55124
(952) 891-4611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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