Dental Care Of Brooklyn Park | |
5901 94th Ave N Ste 105 Brooklyn Park MN 55443-2389 | |
(763) 703-2512 | |
Not Available |
Full Name | Dental Care Of Brooklyn Park |
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Speciality | Dentist - General Practice |
Location | 5901 94th Ave N Ste 105, Brooklyn Park, Minnesota |
Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Care Of Brooklyn Park 5901 94th Ave N Ste 105 Brooklyn Park MN 55443-2389 Ph: (763) 717-0020 | Dental Care Of Brooklyn Park 5901 94th Ave N Ste 105 Brooklyn Park MN 55443-2389 Ph: (763) 703-2512 |
NPI Number | 1225696925 |
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Provider Enumeration Date | 05/29/2019 |
Last Update Date | 08/14/2019 |
Identifier | Type | State | Issuer |
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1225696925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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