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3220 County Road 10 Ste A Brooklyn Center MN 55429-3075 | |
| (763) 561-6320 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3220 County Road 10 Ste A, Brooklyn Center, Minnesota |
| Authorized Official Name and Position | Hillary Thull (CRED COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3220 County Road 10 Ste A Brooklyn Center MN 55429-3075 Ph: () - | 3220 County Road 10 Ste A Brooklyn Center MN 55429-3075 Ph: (763) 561-6320 |
| NPI Number | 1679272488 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 05/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679272488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Northland Dental Partners, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 66th Ave N, Brooklyn Center, MN 55430 Phone: 763-560-3334 Fax: 763-560-2191 | |