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Organization

CAHILL DENTAL CARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN M NELSON (CLINICAL MANAGER)
(651) 451-9101
Entity
Organization

Contact information

Practice address
6105 CAHILL AVE, INVER GROVE HEIGHTS, MN 55076-1525
(651) 451-9101
(651) 451-9887
Mailing address
6105 CAHILL AVE, INVER GROVE HEIGHTS, MN 55076-1525
(651) 451-9101
(651) 451-9887

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3142423
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013999309
DENTIST
MN
01
1174633823
PERIODONTIST
MN
01
1891777454
DENTIST
MN
01
1942282231
DENTIST
MN
Enumeration date
12/24/2007
Last updated
08/13/2008
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