| University Of Minnesota Pediatric Dental Clinic | |
|
701 25th Ave S Suite 400 Minneapolis MN 55454-1513 | |
| (651) 659-4900 | |
| (651) 659-4901 |
| Full Name | University Of Minnesota Pediatric Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 701 25th Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mary A Johnson (COO) |
| Authorized Official Contact | 6128840802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Minnesota Pediatric Dental Clinic 701 25th Ave S Suite 400 Minneapolis MN 55454-1513 Ph: (651) 659-4900 | University Of Minnesota Pediatric Dental Clinic 701 25th Ave S Suite 400 Minneapolis MN 55454-1513 Ph: (651) 659-4900 |
| NPI Number | 1992075287 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 06/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992075287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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