| Metro Dentalcare, Plc | |
|
17597 Cedar Ave Lakeville MN 55044-5269 | |
| (952) 431-6600 | |
| (952) 431-6606 |
| Full Name | Metro Dentalcare, Plc |
|---|---|
| Speciality | Dentist |
| Location | 17597 Cedar Ave, Lakeville, Minnesota |
| Authorized Official Name and Position | Kristi Anne Johnson (DENTIST) |
| Authorized Official Contact | 6128619123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Dentalcare, Plc Po Box 23029 Richfield MN 55423-0029 Ph: (612) 861-9123 | Metro Dentalcare, Plc 17597 Cedar Ave Lakeville MN 55044-5269 Ph: (952) 431-6600 |
| NPI Number | 1316913411 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316913411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11776 (Minnesota) | Primary |
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