City Center Dental, L.l.c. | |
8375 City Centre Dr Woodbury MN 55125-3324 | |
(651) 739-8573 | |
(651) 739-5517 |
Full Name | City Center Dental, L.l.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 8375 City Centre Dr, Woodbury, Minnesota |
Authorized Official Name and Position | Christopher M Chmiel (DENTIST) |
Authorized Official Contact | 6517398573 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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City Center Dental, L.l.c. 8375 City Centre Dr Woodbury MN 55125-3324 Ph: (651) 739-8573 | City Center Dental, L.l.c. 8375 City Centre Dr Woodbury MN 55125-3324 Ph: (651) 739-8573 |
NPI Number | 1205261195 |
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Provider Enumeration Date | 09/10/2013 |
Last Update Date | 09/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205261195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D11040 (Minnesota) | Primary |
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