| Urgent Care Dental Pllc | |
|
331 Willow Bnd Apt 705 Crystal MN 55428-3969 | |
| (612) 707-3768 | |
| Not Available |
| Full Name | Urgent Care Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 331 Willow Bnd Apt 705, Crystal, Minnesota |
| Authorized Official Name and Position | Muktar A Farah (CEO) |
| Authorized Official Contact | 6127073768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care Dental Pllc 1320 W Lake St Apt 521 Minneapolis MN 55408-4987 Ph: (612) 707-3768 | Urgent Care Dental Pllc 331 Willow Bnd Apt 705 Crystal MN 55428-3969 Ph: (612) 707-3768 |
| NPI Number | 1578158929 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578158929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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