| Cld - Brooklyn Park Mn, Llc | |
|
7710 Brooklyn Blvd Fl 1 Brooklyn Park MN 55443-2979 | |
| (651) 292-9331 | |
| Not Available |
| Full Name | Cld - Brooklyn Park Mn, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7710 Brooklyn Blvd Fl 1, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | David Park (CEO / OWNER) |
| Authorized Official Contact | 6514449644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cld - Brooklyn Park Mn, Llc 7710 Brooklyn Blvd Fl 1 Brooklyn Park MN 55443-2979 Ph: (651) 292-9331 | Cld - Brooklyn Park Mn, Llc 7710 Brooklyn Blvd Fl 1 Brooklyn Park MN 55443-2979 Ph: (651) 292-9331 |
| NPI Number | 1770283475 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770283475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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