| Frontline Dental | |
|
4045 Brookside Ave St Louis Park MN 55416-2808 | |
| (763) 225-7033 | |
| Not Available |
| Full Name | Frontline Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4045 Brookside Ave, St Louis Park, Minnesota |
| Authorized Official Name and Position | Ernest Juean (DENTIST) |
| Authorized Official Contact | 7632257033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontline Dental 6973 Archer Pl Inver Grove Heights MN 55077-1000 Ph: (763) 225-7033 | Frontline Dental 4045 Brookside Ave St Louis Park MN 55416-2808 Ph: (763) 225-7033 |
| NPI Number | 1346896297 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 08/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346896297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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