Organization
POLYCARP DENTAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J BRADFORD MORGAN (OWNER)
(651) 273-8132
Entity
Organization
Contact information
Practice address
1465 N FRONTAGE RD, HASTINGS, MN 55033-2355
(651) 273-8132
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
06/21/2023
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