| Enhance Dental | |
|
1625 Lena Court Suite 100 Eagan MN 55122 | |
| (651) 452-4111 | |
| Not Available |
| Full Name | Enhance Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1625 Lena Court Suite 100, Eagan, Minnesota |
| Authorized Official Name and Position | Thanh Pham (PRESIDENT) |
| Authorized Official Contact | 7635601555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhance Dental 7532 Brooklyn Blvd Brooklyn Park MN 55443 Ph: (763) 560-1555 | Enhance Dental 1625 Lena Court Suite 100 Eagan MN 55122 Ph: (651) 452-4111 |
| NPI Number | 1316351703 |
|---|---|
| Provider Enumeration Date | 06/13/2014 |
| Last Update Date | 07/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316351703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11353 (Minnesota) | Primary |
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