Organization
GLEN OAKS DENTAL PLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DAVID CRAVEN DDS (GENERAL PARTNER)
(763) 786-8460
Entity
Organization
Contact information
Practice address
2 S PINE DR, STE M, CIRCLE PINES, MN 55014-1798
(763) 786-8460
(763) 786-1792
Mailing address
2 S PINE DR, STE M, CIRCLE PINES, MN 55014-1848
(763) 786-8460
(763) 786-1792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8945
MN
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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