Organization
COMMUNITY DENTAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORINE C SCHULTZ (HUMAN RESOURCE DIRECTOR)
(651) 925-8427
Entity
Organization
Contact information
Practice address
1926 COLLEGEVIEW RD E, ROOM HC 116, ROCHESTER, MN 55904-8201
(651) 925-8400
Mailing address
1670 BEAM AVE, MAPLEWOOD, MN 55109-1201
(651) 925-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
06/17/2014
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