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1902146335
EAGAN VALLEY DENTAL CENTER P.A.
EAGAN, MN
NPI
1902146335
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Entity Type
Organization
Authorized Contact
JOHN DAVID MITTELSTEADT
President
651-681-9044
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN 09922)
Enumeration Date
2013-02-21
Last Update Date
2013-02-21
Business Address
EAGAN VALLEY DENTAL CENTER P.A.
4555 ERIN DR
EAGAN, MN 55122-3398
Phone number: 651-681-9044
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Mailing Address
EAGAN VALLEY DENTAL CENTER P.A.
4555 ERIN DR
EAGAN, MN 55122-3398
Phone number: 651-681-9044
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