in Champlin - Dentist

- NPI 1083764146

is a Dentist in Champlin, Minnesota. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1083764146. The last update date is .

's current location address is 500 A Jefferson Hwy, Champlin, Minnesota. You can contact this provider via phone number 7634277700 and fax number 7633238075. The mailing address for is 500 A Jefferson Hwy, Champlin, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 500 A Jefferson Hwy, Champlin, Minnesota
Phone Number 7634277700
Fax Number 7633238075
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1083764146
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 500 A Jefferson Hwy
City Champlin
State Minnesota (MN)
Post Code 55316
Phone Number 7634277700
Fax Number 7633238075

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D10808
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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