Organization
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN LAW D.D.S., PH.D. (PRESIDENT)
(651) 633-0500
Entity
Organization
Contact information
Practice address
2200 COUNTY ROAD C W, SUITE 2210, ROSEVILLE, MN 55113
(651) 633-0500
(651) 636-6350
Mailing address
2200 COUNTY ROAD C W, SUITE 2210, ROSEVILLE, MN 55113-2504
(651) 633-0500
(651) 636-6350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
10/28/2020
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