Minnesota Dental Professionals, P.c. | |
11237 Foley Blvd Nw Coon Rapids MN 55448-3389 | |
(763) 757-1234 | |
Not Available |
Full Name | Minnesota Dental Professionals, P.c. |
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Speciality | Dentist - General Practice |
Location | 11237 Foley Blvd Nw, Coon Rapids, Minnesota |
Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175406078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Minnesota Dental Professionals, P.c. 11237 Foley Blvd Nw Coon Rapids MN 55448-3389 Ph: () - | Minnesota Dental Professionals, P.c. 11237 Foley Blvd Nw Coon Rapids MN 55448-3389 Ph: (763) 757-1234 |
NPI Number | 1245881093 |
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Provider Enumeration Date | 09/24/2019 |
Last Update Date | 09/24/2019 |
Identifier | Type | State | Issuer |
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1245881093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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