| Affiliated Pediatric Dentists Pa | |
|
14050 Nicollet Avenue South Suite 100 Burnsville MN 55337-5737 | |
| (952) 435-4102 | |
| (952) 435-8925 |
| Full Name | Affiliated Pediatric Dentists Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14050 Nicollet Avenue South, Burnsville, Minnesota |
| Authorized Official Name and Position | Mark Edward Greenwood (TREASURER) |
| Authorized Official Contact | 9528314400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Pediatric Dentists Pa 7373 France Avenue South Suite 402 Edina MN 55435-4558 Ph: (952) 831-4400 | Affiliated Pediatric Dentists Pa 14050 Nicollet Avenue South Suite 100 Burnsville MN 55337-5737 Ph: (952) 435-4102 |
| NPI Number | 1548426422 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548426422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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