| Shakopee Dental P.l.l.c. | |
|
4201 Dean Lakes Blvd Suite 110 Shakopee MN 55379-2829 | |
| (952) 233-1020 | |
| (952) 233-1309 |
| Full Name | Shakopee Dental P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4201 Dean Lakes Blvd, Shakopee, Minnesota |
| Authorized Official Name and Position | Luis E. Silva (PRESIDENT) |
| Authorized Official Contact | 9522331020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shakopee Dental P.l.l.c. 4201 Dean Lakes Blvd Suite 110 Shakopee MN 55379-2829 Ph: (952) 233-1020 | Shakopee Dental P.l.l.c. 4201 Dean Lakes Blvd Suite 110 Shakopee MN 55379-2829 Ph: (952) 233-1020 |
| NPI Number | 1730308792 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730308792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8638530 (Minnesota) | Primary |
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