Quality Dental Care, Llc | |
6901 78th Ave N Suite 105 Brooklyn Park MN 55445-2720 | |
(651) 263-6673 | |
Not Available |
Full Name | Quality Dental Care, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 6901 78th Ave N, Brooklyn Park, Minnesota |
Authorized Official Name and Position | Xieng Khan Lee (OWNER/DENTIST) |
Authorized Official Contact | 6512636673 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Quality Dental Care, Llc 9131 Louisiana Ave N Brooklyn Park MN 55445-3249 Ph: (651) 263-6673 | Quality Dental Care, Llc 6901 78th Ave N Suite 105 Brooklyn Park MN 55445-2720 Ph: (651) 263-6673 |
NPI Number | 1326304411 |
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Provider Enumeration Date | 04/03/2012 |
Last Update Date | 04/03/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326304411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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