Organization
NORTHLAND DENTAL PARTNERS, PLLC
Active
Parent organization
NORTHLAND DENTAL PARTNERS, PLLC
Other names
Metro Dentalcare St. Louis Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHLAND DENTAL PARTNERS, PLLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
4959 EXCELSIOR BLVD STE 200, ST LOUIS PARK, MN 55416-3003
(952) 920-8774
Mailing address
4959 EXCELSIOR BLVD STE 200, ST LOUIS PARK, MN 55416-3003
(952) 920-8774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
03/15/2022
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