Organization
CHASKA FAMILY DENTAL, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY A MANN DDS (CEO)
(515) 975-4729
Entity
Organization
Contact information
Practice address
407 N CHESTNUT ST, CHASKA, MN 55318-1923
(515) 975-4729
Mailing address
407 N CHESTNUT ST, CHASKA, MN 55318-1923
(515) 975-4729
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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