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Organization

2010 DENTISTRY, PA

Active
Other names
Crosstown Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK EDWARD MORK III D.D.S. (PRESIDENT)
(612) 866-5014
Entity
Organization

Contact information

Practice address
2010 W 66TH ST, RICHFIELD, MN 55423-2127
(612) 866-5014
(612) 866-5082
Mailing address
2010 W 66TH ST, RICHFIELD, MN 55423-2127
(612) 866-5014
(612) 866-5082

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10511
MN

Other

Enumeration date
12/17/2014
Last updated
12/17/2014
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