|
| |
|
6437 Brooklyn Blvd Brooklyn Center MN 55429-2174 | |
| (763) 535-6010 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6437 Brooklyn Blvd, Brooklyn Center, Minnesota |
| Authorized Official Name and Position | Karie T Graden (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9524321103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14605 Glazier Ave Apple Valley MN 55124-7545 Ph: () - | 6437 Brooklyn Blvd Brooklyn Center MN 55429-2174 Ph: (763) 535-6010 |
| NPI Number | 1710001284 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710001284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Minnesota) | 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 | |