| Arden Dental Associates | |
|
11806 Aberdeen St Ne Suite 150 Blaine MN 55449-4736 | |
| (763) 786-1545 | |
| (763) 786-2939 |
| Full Name | Arden Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11806 Aberdeen St Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Carlos Ernesto Campodonico (OWNER) |
| Authorized Official Contact | 7637861545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arden Dental Associates 11806 Aberdeen St Ne Suite 150 Blaine MN 55449-4736 Ph: (763) 786-1545 | Arden Dental Associates 11806 Aberdeen St Ne Suite 150 Blaine MN 55449-4736 Ph: (763) 786-1545 |
| NPI Number | 1104249259 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 01/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104249259 | NPI | - | NPPES |
| 1154546877 | Other | MN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Minnesota) | Primary |
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