| Apple Valley Modern Dentistry, Pc | |
|
15050 Cedar Ave Ste 119 Apple Valley MN 55124-7046 | |
| (952) 248-4411 | |
| (952) 232-5213 |
| Full Name | Apple Valley Modern Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15050 Cedar Ave Ste 119, Apple Valley, Minnesota |
| Authorized Official Name and Position | Erik Houck (OWNER) |
| Authorized Official Contact | 9522484411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Valley Modern Dentistry, Pc Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Apple Valley Modern Dentistry, Pc 15050 Cedar Ave Ste 119 Apple Valley MN 55124-7046 Ph: (952) 248-4411 |
| NPI Number | 1447930904 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447930904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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