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Organization

MILL CITY DENTAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAY C WILLIAMS DDS (DENTIST, OWNER)
(612) 377-3740
Entity
Organization

Contact information

Practice address
2218 LAUREL AVE, MINNEAPOLIS, MN 55405
(612) 377-3740
(612) 377-5004
Mailing address
2218 LAUREL AVE, MINNEAPOLIS, MN 55405
(612) 377-3740
(612) 377-5004

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
10/31/2022
Last updated
10/31/2022
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