Organization
901 FAMILY DENTISTRY P.A.
Active
Other names
901 Family Dentistry Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PAUL VINCENT D.D.S. (OWNER)
(612) 789-9444
Entity
Organization
Contact information
Practice address
901 23RD AVE NE, MINNEAPOLIS, MN 55418-3609
(612) 789-9444
(612) 789-2431
Mailing address
901 23RD AVE NE, MINNEAPOLIS, MN 55418-3609
(612) 789-9444
(612) 789-2431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9485
MN
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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