| M D Sween D.d.s. Pa | |
|
3548 Noble Ave N Crystal MN 55422-2866 | |
| (763) 521-2254 | |
| (763) 521-5263 |
| Full Name | M D Sween D.d.s. Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3548 Noble Ave N, Crystal, Minnesota |
| Authorized Official Name and Position | Mark Duane Sween (DOCTOR OF DENTAL SURGERY) |
| Authorized Official Contact | 7635212254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M D Sween D.d.s. Pa 3548 Noble Ave N Crystal MN 55422-2866 Ph: (763) 521-2254 | M D Sween D.d.s. Pa 3548 Noble Ave N Crystal MN 55422-2866 Ph: (763) 521-2254 |
| NPI Number | 1215167325 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 07/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215167325 | NPI | - | NPPES |
| 216652000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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