| Advanced Dental Therapist - Np Clinic | |
|
814 S 3rd Street Minneapolis MN 55415 | |
| (612) 626-6529 | |
| Not Available |
| Full Name | Advanced Dental Therapist - Np Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 814 S 3rd Street, Minneapolis, Minnesota |
| Authorized Official Name and Position | Leon Assael (DEAN, UOFMN SCHOOL OF DENTISTRY) |
| Authorized Official Contact | 6126266529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Therapist - Np Clinic 515 Delaware St Se 7-530 Moostower Minneapolis MN 55455-0357 Ph: (612) 626-6529 | Advanced Dental Therapist - Np Clinic 814 S 3rd Street Minneapolis MN 55415 Ph: (612) 626-6529 |
| NPI Number | 1528515194 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528515194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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