Individual
DR. MICHAEL C. BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16670 FRANKLIN TRL SE, PRIOR LAKE, MN 55372-2924
(952) 447-4611
(952) 447-4660
Mailing address
16670 FRANKLIN TRL SE, PRIOR LAKE, MN 55372-2924
(952) 447-4611
(952) 447-4660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
B7398
MN
Other
Enumeration date
10/10/2005
Last updated
07/08/2007
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