| Public Health Dental Llc | |
|
385 S Owasso Blvd W Roseville MN 55113-2119 | |
| (612) 801-5203 | |
| Not Available |
| Full Name | Public Health Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 385 S Owasso Blvd W, Roseville, Minnesota |
| Authorized Official Name and Position | Maureen Derdie O'sullivan (ADVANCED DENTAL THERAPIST) |
| Authorized Official Contact | 6128015203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Public Health Dental Llc 385 S Owasso Blvd W Roseville MN 55113-2119 Ph: () - | Public Health Dental Llc 385 S Owasso Blvd W Roseville MN 55113-2119 Ph: (612) 801-5203 |
| NPI Number | 1770213639 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770213639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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