Organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
MINNESOTA DENTAL PROFESSIONALS, P.C.
Other names
Badger Hills Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA DENTAL PROFESSIONALS, P.C.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
4273 W CIRCLE DR NW, ROCHESTER, MN 55901-8788
(507) 322-1886
Mailing address
4273 W CIRCLE DR NW, ROCHESTER, MN 55901-8788
(507) 322-1886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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