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Organization

POINT FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK WALLACE D.D.S. (OWNER)
(612) 619-1610
Entity
Organization

Contact information

Practice address
10611 FRANCE AVE S STE 201, BLOOMINGTON, MN 55431-3554
(952) 881-8404
(952) 881-9520
Mailing address
6642 PICHA PL, EDEN PRAIRIE, MN 55346-2508
(612) 619-1610

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12888
MN

Other

Enumeration date
02/08/2016
Last updated
02/08/2016
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