Dresen Restorative Dentistry, Pa

NPI 1114333986 - Dentist - 122300000X

NPI Details
NPI 1114333986
Enumeration Date 07/01/2014
Last Updated 07/01/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name THOMAS MATTHEW THOMAS
Position PRESIDENT
Phone (651) 735-1585
Fax
Practice Location
6936 PINE ARBOR DR S
SUITE 210
COTTAGE GROVE MN, 55016-4645, US
Phone (651) 735-1585
Fax
Business Location
6936 PINE ARBOR DR S
SUITE 210
COTTAGE GROVE MN, 55016-4645, US
Phone (651) 735-1585
Fax
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number D10827
Remove 1114333986 NPI Number
 

According to our database, Dresen Restorative Dentistry, Pa NPI is 1114333986, taxonomy code is 122300000X and license number is D10827, license state is located at Minnesota. Dresen Restorative Dentistry, Pa physically located at 6936 Pine Arbor Dr S, Cottage Grove MN, 55016-4645. NPI Number 1033115704 has the healthcare provider type.

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1114333986 NPI number is provided on an as is basis without warranty of any kind. 1114333986 is maintained by the National Plan & Provider Enumeration System. The contents of Dresen Restorative Dentistry, Pa are for informational purposes only.