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6600 City West Pkwy Suite 315 Eden Prairie MN 55344-3261 | |
| (952) 920-9411 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6600 City West Pkwy, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Michael Ryan Henrickson (DENTIST) |
| Authorized Official Contact | 6517778900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6600 City West Pkwy Suite 315 Eden Prairie MN 55344-3261 Ph: (952) 920-9411 | 6600 City West Pkwy Suite 315 Eden Prairie MN 55344-3261 Ph: (952) 920-9411 |
| NPI Number | 1922361526 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 07/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922361526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11920 (Minnesota) | Primary |
Omega Dental Care, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6203 Dell Rd, Eden Prairie, MN 55346 Phone: 952-460-9100 | |
Brilliant Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7727 Flying Cloud Dr, Eden Prairie, MN 55344 Phone: 952-944-2052 | |
Prairie Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6608 Flying Cloud Dr, Eden Prairie, MN 55344 Phone: 952-903-5000 Fax: 952-944-0642 | |
Group Health Plan, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8455 Flying Cloud Dr, Eden Prairie, MN 55344 Phone: 952-883-9040 Fax: 952-941-8857 | |