| Pure Dental | |
| 
					6230 10th St N Suite #520 Oakdale MN 55128-6158  | |
| (651) 731-3064 | |
| (651) 731-9340 | 
| Full Name | Pure Dental | 
|---|---|
| Speciality | Dentist | 
| Location | 6230 10th St N, Oakdale, Minnesota | 
| Authorized Official Name and Position | Amy Truong (DENTIST) | 
| Authorized Official Contact | 6513295141 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pure Dental 6230 10th St N Suite #520 Oakdale MN 55128-6158 Ph: (651) 731-3064  | Pure Dental 6230 10th St N Suite #520 Oakdale MN 55128-6158 Ph: (651) 731-3064  | 
| NPI Number | 1679947287 | 
|---|---|
| Provider Enumeration Date | 11/19/2015 | 
| Last Update Date | 11/19/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679947287 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | D12647 (Minnesota) | Primary | 
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