| Revive Periodontics And Implants | |
|
625 E Nicollet Blvd Ste 330 Burnsville MN 55337-6736 | |
| (952) 435-0333 | |
| Not Available |
| Full Name | Revive Periodontics And Implants |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 625 E Nicollet Blvd Ste 330, Burnsville, Minnesota |
| Authorized Official Name and Position | Andrew Glover (PRESIDENT) |
| Authorized Official Contact | 6513342190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Periodontics And Implants 625 E Nicollet Blvd Ste 330 Burnsville MN 55337-6736 Ph: () - | Revive Periodontics And Implants 625 E Nicollet Blvd Ste 330 Burnsville MN 55337-6736 Ph: (952) 435-0333 |
| NPI Number | 1619722857 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619722857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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