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1306009667
ALTERNATIVE DENTAL NETWORK
GOLDEN VALLEY, MN
NPI
1306009667
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Entity Type
Organization
Authorized Contact
LAVERN THOMAS
Administrator
612-280-0350
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2008-07-08
Last Update Date
2008-07-08
Business Address
ALTERNATIVE DENTAL NETWORK
8014 HWY 55 STE 154
GOLDEN VALLEY, MN 55427
Phone number: 612-280-0350
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Mailing Address
ALTERNATIVE DENTAL NETWORK
8014 HIGHWAY 55 # 154
GOLDEN VALLEY, MN 55427-4712
Phone number: 612-280-0350
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