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6437 Brooklyn Blvd Brooklyn Center MN 55429-2174 | |
| (952) 926-3128 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6437 Brooklyn Blvd, Brooklyn Center, Minnesota |
| Authorized Official Name and Position | Alan Law (PRESIDENT) |
| Authorized Official Contact | 6516330500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2200 County Road C W Suite 2210 Roseville MN 55113-2550 Ph: (651) 633-0500 | 6437 Brooklyn Blvd Brooklyn Center MN 55429-2174 Ph: (952) 926-3128 |
| NPI Number | 1578606778 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578606778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
Northland Dental Partners, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 66th Ave N, Brooklyn Center, MN 55430 Phone: 763-560-3334 Fax: 763-560-2191 | |