| East Valleydental, Pa | |
|
14050 Pilot Knob Rd Suite 108 Apple Valley MN 55124-6647 | |
| (952) 423-4414 | |
| (952) 423-7174 |
| Full Name | East Valleydental, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14050 Pilot Knob Rd, Apple Valley, Minnesota |
| Authorized Official Name and Position | Robert E. Thielman (OWNER/GENERAL DENTIST) |
| Authorized Official Contact | 9524234414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Valleydental, Pa 14050 Pilot Knob Rd Suite 108 Apple Valley MN 55124-6647 Ph: (952) 423-4414 | East Valleydental, Pa 14050 Pilot Knob Rd Suite 108 Apple Valley MN 55124-6647 Ph: (952) 423-4414 |
| NPI Number | 1144490723 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 03/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144490723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8510 (Minnesota) | Primary |
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Orthodontic Care Specialists Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14605 Glazier Ave. S., Apple Valley, MN 55124 Phone: 952-432-1103 Fax: 952-891-8678 | |
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Healthpartners Apple Valley Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15350 English Ave, Apple Valley, MN 55124 Phone: 952-431-8583 Fax: 952-431-8528 | |
Eagan Valley Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14050 Pilot Knob Rd, Apple Valley, MN 55124 Phone: 952-423-4414 | |
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