Minnesota Dental Group | |
4125 Lakeland Ave N Suite 100 Robbinsdale MN 55422-1852 | |
(763) 537-5123 | |
(763) 533-2034 |
Full Name | Minnesota Dental Group |
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Speciality | Dentist - General Practice |
Location | 4125 Lakeland Ave N, Robbinsdale, Minnesota |
Authorized Official Name and Position | Rupam Kademani (PRESIDENT) |
Authorized Official Contact | 7635375123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Minnesota Dental Group 2700 Capriole Dr Medina MN 55340-9494 Ph: (612) 865-5185 | Minnesota Dental Group 4125 Lakeland Ave N Suite 100 Robbinsdale MN 55422-1852 Ph: (763) 537-5123 |
NPI Number | 1780902080 |
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Provider Enumeration Date | 05/11/2010 |
Last Update Date | 05/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780902080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D12023 (Minnesota) | Primary |
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Minnesota Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4125 Lakeland Ave N, 100, Robbinsdale, MN 55422 Phone: 763-537-5123 | |
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