Organization · Type 2 NPI

Minnesota Dental Surgery PLLC

Dental Clinic/Center · Bloomington, MN

NPI number 1124478607 Active

Practice location

9801 Dupont Ave S
Bloomington, MN 55431-3100

Mailing address

3510 120th St W
Rosemount, MN 55068-3501

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XD12540 (MN)

Dental Clinic/Center: Definition to come...

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About NPI 1124478607

Minnesota Dental Surgery PLLC's National Provider Identifier is 1124478607, issued on Jun 15, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bloomington, MN. The record was last updated on Jun 15, 2016.