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Organization

REGENTS OF THE UNIVERSITY OF MINNESOTA

Active
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Organization

REGENTS OF THE UNIVERSITY OF MINNESOTA

Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
TMD and Orofacial Pain Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
GARY CARL ANDERSON DDS (DEAN)
(612) 626-6529
Entity
Organization

Contact information

Practice address
515 DELAWARE ST SE, 6-440 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 626-6529
Mailing address
515 DELAWARE ST SE, 6-440 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 626-6529

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
02/25/2008
Last updated
12/21/2016
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