| Crosstown Family Dental | |
|
2010 W 66th St Richfield MN 55423-2127 | |
| (612) 866-5014 | |
| (612) 866-5082 |
| Full Name | Crosstown Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2010 W 66th St, Richfield, Minnesota |
| Authorized Official Name and Position | Frank Edward Mork (PRESIDENT) |
| Authorized Official Contact | 6128665014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosstown Family Dental 2010 W 66th St Richfield MN 55423-2127 Ph: (612) 866-5014 | Crosstown Family Dental 2010 W 66th St Richfield MN 55423-2127 Ph: (612) 866-5014 |
| NPI Number | 1942608377 |
|---|---|
| Provider Enumeration Date | 12/17/2014 |
| Last Update Date | 12/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942608377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10511 (Minnesota) | Primary |
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