| Minnetonka Dental, P.l.l.c | |
|
17909 Delton Ave. Minnetonka MN 55345 | |
| (515) 975-4729 | |
| Not Available |
| Full Name | Minnetonka Dental, P.l.l.c |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17909 Delton Ave., Minnetonka, Minnesota |
| Authorized Official Name and Position | Courtney A Mann (CEO) |
| Authorized Official Contact | 5159754729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnetonka Dental, P.l.l.c 17909 Delton Ave. Minnetonka MN 55345 Ph: () - | Minnetonka Dental, P.l.l.c 17909 Delton Ave. Minnetonka MN 55345 Ph: (515) 975-4729 |
| NPI Number | 1477233955 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477233955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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