| Northpark Dental | |
|
9120 Baltimore St Ne Blaine MN 55449-4337 | |
| (763) 786-1560 | |
| (763) 786-4390 |
| Full Name | Northpark Dental |
|---|---|
| Speciality | Dentist |
| Location | 9120 Baltimore St Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Paul Wayne Chadbourn (PRESIDENT) |
| Authorized Official Contact | 7637861560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northpark Dental 9120 Baltimore St Ne Blaine MN 55449-4337 Ph: (763) 786-1560 | Northpark Dental 9120 Baltimore St Ne Blaine MN 55449-4337 Ph: (763) 786-1560 |
| NPI Number | 1710161500 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 12/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710161500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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