Dakota Dental Clinic, P.a.

NPI 1063559540 - Dentist - 1223G0001X

NPI Details
NPI 1063559540
Enumeration Date 01/31/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHELLEY N SHELLEY
Position PRES.
Phone (952) 431-5774
Fax
Practice Location
14682 PENNOCK AVE
APPLE VALLEY MN, 55124-7429, US
Phone (952) 431-5774
Fax
Business Location
1601 HIGHPOINT CURV
BURNSVILLE MN, 55337-3933, US
Phone (952) 431-5774
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D9428
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According to our database, Dakota Dental Clinic, P.a. NPI is 1063559540, taxonomy code is 1223G0001X and license number is D9428, license state is located at Minnesota. Dakota Dental Clinic, P.a. physically located at 14682 Pennock Ave, Apple Valley MN, 55124-7429. NPI Number 1033115704 has the healthcare provider type.

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1063559540 NPI number is provided on an as is basis without warranty of any kind. 1063559540 is maintained by the National Plan & Provider Enumeration System. The contents of Dakota Dental Clinic, P.a. are for informational purposes only.