Organization
DENTAL HEALTH CENTER OF MN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLONGO PUREV (DMD)
(952) 929-2388
Entity
Organization
Contact information
Practice address
4820 MINNETONKA BLVD STE 202, ST LOUIS PARK, MN 55416-5707
(952) 929-2388
Mailing address
4820 MINNETONKA BLVD STE 202, ST LOUIS PARK, MN 55416-5707
(952) 929-2388
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
D11735
MN
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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