MICHAEL HENRICKSON DDS

BURNSVILLE, MN
NPI1992571293
Entity TypeOrganization
Authorized ContactMIKE RYAN HENRICKSON
Authorized Official
651-777-8900
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2023-11-28
Last Update Date2023-11-28
Business Address
MICHAEL HENRICKSON DDS
14050 NICOLLET AVE STE 205
BURNSVILLE, MN 55337-5738
Phone number: 952-435-4177
Mailing Address
MICHAEL HENRICKSON DDS
1560 BEAM AVE STE A
MAPLEWOOD, MN 55109-1171
Phone number: