| Revive Dental Solutions Pllc | |
|
5727 W 42nd St St Louis Park MN 55416-3101 | |
| (612) 275-1846 | |
| Not Available |
| Full Name | Revive Dental Solutions Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5727 W 42nd St, St Louis Park, Minnesota |
| Authorized Official Name and Position | Elizabeth K Laabs (DENTIST) |
| Authorized Official Contact | 6122751846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Dental Solutions Pllc 5727 W 42nd St St Louis Park MN 55416-3101 Ph: (612) 275-1846 | Revive Dental Solutions Pllc 5727 W 42nd St St Louis Park MN 55416-3101 Ph: (612) 275-1846 |
| NPI Number | 1750109351 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750109351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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