Organization
METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
Active
Parent organization
METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
Authorized official
JAMES D NICKMNA DDS (PRESIDENT)
(651) 224-4969
Entity
Organization
Contact information
Practice address
500 OSBORNE RD NE, SUITE 345, FRIDLEY, MN 55432-2765
(763) 786-4260
(651) 224-4969
Mailing address
500 OSBORNE RD NE, SUITE 345, FRIDLEY, MN 55432-2765
(763) 786-4260
(651) 224-4969
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
10/05/2016
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