Organization
PL DENTAL SC
Active
Parent organization
PL DENTAL SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PL DENTAL SC
Authorized official
PHONG VINH LY (OFFICE MANAGER)
(763) 317-1166
Entity
Organization
Contact information
Practice address
9920 FOLEY BLVD NW STE 110, COON RAPIDS, MN 55433-5216
(763) 317-1166
Mailing address
9920 FOLEY BLVD NW STE 110, MINNEAPOLIS, MN 55433-5216
(763) 317-1166
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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