| Your Dental | |
|
9220 Bass Lake Rd Ste 345 New Hope MN 55428-3095 | |
| (763) 248-0680 | |
| Not Available |
| Full Name | Your Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9220 Bass Lake Rd Ste 345, New Hope, Minnesota |
| Authorized Official Name and Position | Yun Je Lee (PRESIDENT) |
| Authorized Official Contact | 7632480680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Dental 6075 Niagara Ln N Plymouth MN 55446-4540 Ph: (763) 248-0680 | Your Dental 9220 Bass Lake Rd Ste 345 New Hope MN 55428-3095 Ph: (763) 248-0680 |
| NPI Number | 1184354151 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184354151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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