Organization
NORTHLAND DENTAL PARTNERS, PLLC
Active
Parent organization
NORTHLAND DENTAL PARTNERS, PLLC
Other names
Metro Dentalcare Eden Prairie
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHLAND DENTAL PARTNERS, PLLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
8353 CRYSTAL VIEW RD STE 105, EDEN PRAIRIE, MN 55344-7325
(952) 252-4000
(952) 252-0263
Mailing address
8353 CRYSTAL VIEW RD STE 105, EDEN PRAIRIE, MN 55344-7325
(952) 252-4000
(952) 252-0263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
05/02/2022
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