| Endodontic Professionals Pa - St Anthony Endodontics | |
|
3905 Silver Lake Rd Ne Minneapolis MN 55421-4352 | |
| (763) 559-0859 | |
| (763) 559-4356 |
| Full Name | Endodontic Professionals Pa - St Anthony Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3905 Silver Lake Rd Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mark R Jensen (PRESIDENT) |
| Authorized Official Contact | 7635590859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Professionals Pa - St Anthony Endodontics 3401 Highway 169 N Plymouth MN 55441-2413 Ph: (763) 559-0859 | Endodontic Professionals Pa - St Anthony Endodontics 3905 Silver Lake Rd Ne Minneapolis MN 55421-4352 Ph: (763) 559-0859 |
| NPI Number | 1538577341 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 07/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538577341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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