Organization
MINNESOTA SLEEP AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK BALDWIN DDS (OWNER)
(209) 380-5486
Entity
Organization
Contact information
Practice address
15600 36TH AVE N STE 270A, PLYMOUTH, MN 55446-3369
(763) 231-5865
Mailing address
26626 BROOKS CIR, STEVENSON RANCH, CA 91381-1459
(209) 380-5486
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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