Organization
MILLIREN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBERT MILLIREN (OWNER)
(651) 437-7844
Entity
Organization
Contact information
Practice address
925 HIGHWAY 55, SUITE 102, HASTINGS, MN 55033-3734
(651) 437-7844
(651) 437-3454
Mailing address
925 HIGHWAY 55, SUITE 102, HASTINGS, MN 55033-3734
(651) 437-7844
(651) 437-3454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12424
MN
1223G0001X
General Practice Dentistry
Primary
9846
MN
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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