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15015 Cimarron Ave Rosemount MN 55068-2771 | |
| (952) 926-2835 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15015 Cimarron Ave, Rosemount, Minnesota |
| Authorized Official Name and Position | Shannon Hesse (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6517462815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2200 County Road C W Ste 2210 Roseville MN 55113-2551 Ph: (651) 746-2815 | 15015 Cimarron Ave Rosemount MN 55068-2771 Ph: (952) 926-2835 |
| NPI Number | 1760013015 |
|---|---|
| Provider Enumeration Date | 01/27/2020 |
| Last Update Date | 01/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760013015 | NPI | - | NPPES |
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