| Plymouth Station Dental, Pa | |
|
16795 County Road 24 Suite 6 Plymouth MN 55447-1201 | |
| (763) 511-9840 | |
| Not Available |
| Full Name | Plymouth Station Dental, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16795 County Road 24, Plymouth, Minnesota |
| Authorized Official Name and Position | Robert Michael Sinko (D.D.S. OWNER) |
| Authorized Official Contact | 7635779840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plymouth Station Dental, Pa 16795 County Road 24 Suite 6 Plymouth MN 55447-1201 Ph: (763) 511-9840 | Plymouth Station Dental, Pa 16795 County Road 24 Suite 6 Plymouth MN 55447-1201 Ph: (763) 511-9840 |
| NPI Number | 1801068663 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801068663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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