Organization
DOWNTOWN PERIODONTICS AND IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MORGAN MCCANN D.D.S. (PERIODONTIST/OWNER)
(612) 339-5593
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL, SUITE 725, MINNEAPOLIS, MN 55402
(612) 339-5593
(612) 324-3136
Mailing address
825 NICOLLET MALL, SUITE 725, MINNEAPOLIS, MN 55402
(612) 339-5593
(612) 324-3136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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