Organization
HERITAGE DENTAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M BOWMAN (MANAGER)
(763) 537-6070
Entity
Organization
Contact information
Practice address
6120 BROOKLYN BLVD, #201, BROOKLYN CENTER, MN 55429
(763) 561-3530
(763) 561-0117
Mailing address
6120 BROOKLYN BLVD, #201, BROOKLYN CENTER, MN 55429
(763) 561-3530
(763) 561-0117
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
10/26/2009
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