| Minnesota Dental Center | |
|
17601 Highway 7 #200 Minnetonka MN 55345-4104 | |
| (651) 738-1880 | |
| Not Available |
| Full Name | Minnesota Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 17601 Highway 7, Minnetonka, Minnesota |
| Authorized Official Name and Position | Holger P Meiser (OWNER) |
| Authorized Official Contact | 6512089389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Dental Center 17601 Highway 7 #200 Minnetonka MN 55345-4104 Ph: (651) 738-1880 | Minnesota Dental Center 17601 Highway 7 #200 Minnetonka MN 55345-4104 Ph: (651) 738-1880 |
| NPI Number | 1720329535 |
|---|---|
| Provider Enumeration Date | 03/05/2013 |
| Last Update Date | 03/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720329535 | NPI | - | NPPES |
| 1013036995 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D12130 (Minnesota) | Primary |
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