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1124478607
MINNESOTA DENTAL SURGERY PLLC
BLOOMINGTON, MN
NPI
1124478607
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Entity Type
Organization
Authorized Contact
BENNETT ISABELLA
CEO
952-215-7419
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: MN D12540)
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
MINNESOTA DENTAL SURGERY PLLC
9801 DUPONT AVE S
BLOOMINGTON, MN 55431-3100
Phone number: 952-215-7419
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Mailing Address
MINNESOTA DENTAL SURGERY PLLC
3510 120TH ST W
ROSEMOUNT, MN 55068-3501
Phone number: 952-215-7419
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