Minnesota Dental Professionals, P.c. | |
8350 Hansen Ave Shakopee MN 55379-1038 | |
(612) 213-2264 | |
(612) 213-2663 |
Full Name | Minnesota Dental Professionals, P.c. |
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Speciality | Dentist - General Practice |
Location | 8350 Hansen Ave, Shakopee, Minnesota |
Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
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. 8350 Hansen Ave Shakopee MN 55379-1038 Ph: (612) 213-2264 | Minnesota Dental Professionals, P.c. 8350 Hansen Ave Shakopee MN 55379-1038 Ph: (612) 213-2264 |
NPI Number | 1427773225 |
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Provider Enumeration Date | 10/05/2022 |
Last Update Date | 10/05/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427773225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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