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Organization

ACES DENTAL

Active
Other names
Eagle Valley Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY LEE DMD (OWNER)
(949) 373-6985
Entity
Organization

Contact information

Practice address
683 BIELENBERG DR STE 205, WOODBURY, MN 55125-1715
(651) 200-4747
(651) 998-1009
Mailing address
683 BIELENBERG DR STE 205, WOODBURY, MN 55125-1715
(651) 200-4747
(651) 998-1009

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/25/2023
Last updated
08/25/2023
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