Organization
44TH STREET DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA S WESTBERG (BUSINESS MANAGER)
(952) 922-2159
Entity
Organization
Contact information
Practice address
3925 W 44TH ST, EDINA, MN 55424-1032
(952) 922-2159
(952) 922-3842
Mailing address
3925 W 44TH ST, EDINA, MN 55424-1032
(952) 922-2159
(952) 922-3842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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