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1992571293
MICHAEL HENRICKSON DDS
BURNSVILLE, MN
NPI
1992571293
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Entity Type
Organization
Authorized Contact
MIKE RYAN HENRICKSON
Authorized Official
651-777-8900
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-11-28
Last Update Date
2023-11-28
Business Address
MICHAEL HENRICKSON DDS
14050 NICOLLET AVE STE 205
BURNSVILLE, MN 55337-5738
Phone number: 952-435-4177
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Mailing Address
MICHAEL HENRICKSON DDS
1560 BEAM AVE STE A
MAPLEWOOD, MN 55109-1171
Phone number:
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