Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Other names
Twin Lake Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA DENTAL PROFESSIONALS, P.C.
Authorized official
HILLARY THULL (CRED COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
3220 COUNTY ROAD 10 STE A, BROOKLYN CENTER, MN 55429-3075
(763) 561-6320
Mailing address
3220 COUNTY ROAD 10 STE A, BROOKLYN CENTER, MN 55429-3075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
05/08/2023
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