| Champlin Dentistry, Pc | |
|
11231 Aquila Drive N Champlin MN 55316 | |
| (763) 275-1318 | |
| (763) 400-9184 |
| Full Name | Champlin Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11231 Aquila Drive N, Champlin, Minnesota |
| Authorized Official Name and Position | Paul S Gebhart (OWNER) |
| Authorized Official Contact | 7632751318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champlin Dentistry, Pc 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Champlin Dentistry, Pc 11231 Aquila Drive N Champlin MN 55316 Ph: (763) 275-1318 |
| NPI Number | 1194198309 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 11/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194198309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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