Organization
MN DENTISTRY, PC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VAN CAMP (PROVIDER RELATIONS SPECIALIST)
(315) 464-6000
Entity
Organization
Contact information
Practice address
3570 RIVER RAPIDS DRIVE NW, STE 110, COOR RAPIDS, MN 55448
(315) 454-6000
(866) 803-4943
Mailing address
3570 RIVER RAPIDS DRIVE NW, STE 110, COOR RAPIDS, MN 55448
(315) 454-6000
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13479
MN
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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