Organization
SHAKOPEE DENTAL P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS E. SILVA D.D.S. (PRESIDENT)
(952) 233-1020
Entity
Organization
Contact information
Practice address
4201 DEAN LAKES BLVD, SUITE 110, SHAKOPEE, MN 55379-2829
(952) 233-1020
(952) 233-1309
Mailing address
4201 DEAN LAKES BLVD, SUITE 110, SHAKOPEE, MN 55379-2829
(952) 233-1020
(952) 233-1309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8638530
MN
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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