| Childrens Dental Services Inc | |
|
636 Broadway St. Ne Minneapolis MN 55413 | |
| (612) 746-1530 | |
| (612) 746-1531 |
| Full Name | Childrens Dental Services Inc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 636 Broadway St. Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Sarah Wovcha (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6126361577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Services Inc 636 Broadway St. Ne Minneapolis MN 55413 Ph: (612) 746-1530 | Childrens Dental Services Inc 636 Broadway St. Ne Minneapolis MN 55413 Ph: (612) 746-1530 |
| NPI Number | 1407973605 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407973605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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