| Community Dental Care Inc | |
|
3650 Braddock Ave Ne Buffalo MN 55313-3666 | |
| (651) 925-8400 | |
| Not Available |
| Full Name | Community Dental Care Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3650 Braddock Ave Ne, Buffalo, Minnesota |
| Authorized Official Name and Position | Korine Carlson (HR DIRECTOR) |
| Authorized Official Contact | 6519258400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Care Inc 1670 Beam Ave Ste 204 Maplewood MN 55109-1227 Ph: (651) 925-8400 | Community Dental Care Inc 3650 Braddock Ave Ne Buffalo MN 55313-3666 Ph: (651) 925-8400 |
| NPI Number | 1275280810 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275280810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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