University of Minnesota Pediatric Dental Clinic
University of Minnesota Pediatric Dental Clinic is a Dentist in Minneapolis, Minnesota. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
701 25th Ave S Ste 400Minneapolis, MN 55454-1513
Phone: (651) 659-4900
Fax: (651) 659-4901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|
Record details
| NPI number | 1992075287 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Umphysicians |
| Authorized official | Mary Johnson — Coo · (612) 884-0802 |
| NPI enumerated | January 4, 2012 |
| Last updated in NPPES | June 5, 2013 |
| Mailing address | 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513 |
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