| V Dental Center | |
|
3903 Coon Rapids Blvd Nw Coon Rapids MN 55433-2520 | |
| (763) 422-2000 | |
| (763) 427-5770 |
| Full Name | V Dental Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3903 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Lewis T. Yang (OFFICE MANAGER) |
| Authorized Official Contact | 7634222000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| V Dental Center 3903 Coon Rapids Blvd Nw Coon Rapids MN 55433-2520 Ph: (763) 422-2000 | V Dental Center 3903 Coon Rapids Blvd Nw Coon Rapids MN 55433-2520 Ph: (763) 422-2000 |
| NPI Number | 1013111202 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013111202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D10820 (Minnesota) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | D10987 (Minnesota) | Primary |
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