Organization
GREAT PLAINS DENTAL
Active
Other names
Mark W Davies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK W DAVIES DDS (OWNER)
(952) 934-7987
Entity
Organization
Contact information
Practice address
500 W 79TH ST, CHANHASSEN, MN 55317
(952) 934-7987
(952) 934-5732
Mailing address
500 W 79TH ST, CHANHASSEN, MN 55317
(952) 934-7987
(952) 934-5732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11876
MN
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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