| Downtown Dental Pllc | |
|
20785 Holyoke Ave Lakeville MN 55044-9825 | |
| (469) 585-3074 | |
| Not Available |
| Full Name | Downtown Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20785 Holyoke Ave, Lakeville, Minnesota |
| Authorized Official Name and Position | Brian Harrison (CEO) |
| Authorized Official Contact | 4695853074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Dental Pllc 7290 159th St W Apple Valley MN 55124-5133 Ph: (469) 585-3074 | Downtown Dental Pllc 20785 Holyoke Ave Lakeville MN 55044-9825 Ph: (469) 585-3074 |
| NPI Number | 1851108815 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 12/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851108815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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