| Metropolitan Pediatric Dental Associates, Ltd | |
|
500 Osborne Rd Ne Suite 345 Fridley MN 55432-2765 | |
| (763) 786-4260 | |
| (651) 224-4969 |
| Full Name | Metropolitan Pediatric Dental Associates, Ltd |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 500 Osborne Rd Ne, Fridley, Minnesota |
| Authorized Official Name and Position | James D Nickmna (PRESIDENT) |
| Authorized Official Contact | 6512244969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Pediatric Dental Associates, Ltd 500 Osborne Rd Ne Suite 345 Fridley MN 55432-2765 Ph: (763) 786-4260 | Metropolitan Pediatric Dental Associates, Ltd 500 Osborne Rd Ne Suite 345 Fridley MN 55432-2765 Ph: (763) 786-4260 |
| NPI Number | 1730238767 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730238767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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