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Contact Information

DENTAL SPECIALISTS OF MINNESOTA, PLLC
12904 CENTRAL AVE. NE
BLAINE, MN55434
 Phone: 651-746-0587
 Fax: 651-636-1118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DENTAL SPECIALISTS OF MINNESOTA PLLC · (Female)

NPI Number 1922308113
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2010
Last updated 10/28/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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