Organization · Type 2 NPI

123 Brush Dental LLC

Dental Clinic/Center · Maplewood, MN

NPI number 1053807016 Active

Practice location

1670 Beam Ave, Ste 202
Maplewood, MN 55109

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XD9309 (MN)

Dental Clinic/Center: Definition to come...

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About NPI 1053807016

123 Brush Dental LLC's National Provider Identifier is 1053807016, issued on Jul 2, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Maplewood, MN. The record was last updated on Jul 2, 2018.