| The Dental Specialists | |
|
3360 Northdale Blvd. Coon Rapids MN 55448-1825 | |
| (763) 201-6962 | |
| (952) 201-1183 |
| Full Name | The Dental Specialists |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3360 Northdale Blvd., Coon Rapids, 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 |
|---|---|
| The Dental Specialists 2200 County Road C W Suite 2210 Roseville MN 55113-2550 Ph: (651) 633-0500 | The Dental Specialists 3360 Northdale Blvd. Coon Rapids MN 55448-1825 Ph: (763) 201-6962 |
| NPI Number | 1396095048 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396095048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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