Pioneer Dental, P.a. | |
4227 Winnetka Ave N New Hope MN 55428-4924 | |
(763) 536-1100 | |
(763) 536-1212 |
Full Name | Pioneer Dental, P.a. |
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Speciality | Dentist - General Practice |
Location | 4227 Winnetka Ave N, New Hope, Minnesota |
Authorized Official Name and Position | Dimple Malik (OWNER/PRESIDENT) |
Authorized Official Contact | 7635361100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pioneer Dental, P.a. 4227 Winnetka Ave N New Hope MN 55428-4924 Ph: (763) 536-1100 | Pioneer Dental, P.a. 4227 Winnetka Ave N New Hope MN 55428-4924 Ph: (763) 536-1100 |
NPI Number | 1992083125 |
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Provider Enumeration Date | 07/21/2011 |
Last Update Date | 08/01/2011 |
Identifier | Type | State | Issuer |
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1992083125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D11732 (Minnesota) | Primary |
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