| Birchwood Dental, Llc | |
|
3356 Sherman Crt Ste 101 Eagan MN 55121 | |
| (651) 994-1700 | |
| Not Available |
| Full Name | Birchwood Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3356 Sherman Crt Ste 101, Eagan, Minnesota |
| Authorized Official Name and Position | Kelly C Lenz (PRACTICE MANAGER) |
| Authorized Official Contact | 6519941700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birchwood Dental, Llc 3356 Sherman Crt Ste 101 Eagan MN 55121 Ph: (651) 994-1700 | Birchwood Dental, Llc 3356 Sherman Crt Ste 101 Eagan MN 55121 Ph: (651) 994-1700 |
| NPI Number | 1205443850 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205443850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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