Organization
NORTHLAND DENTAL PARTNERS PLLC
Active
Other names
Metro Dentalcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LUDKE DDS (PRESIDENT)
(651) 286-8100
Entity
Organization
Contact information
Practice address
4670 PARK NICOLLET AVE SE, PRIOR LAKE, MN 55372-4119
(952) 447-7606
Mailing address
3030 CENTRE POINTE DR, ROSEVILLE, MN 55113-1112
(651) 286-8100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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