specializing in dentist in Plymouth, Minnesota

NPI: 1508574773

Provider Type

2

Practice Locations

Mailing Location

PO BOX 920050

DALLAS, TX 75392

📞 7633902414

📠 7632906811

Practice Location

3405 VICKSBURG LN N STE 120

PLYMOUTH, MN 55447

📞 7633902414

📠 7632906811

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:11/7/2022
Last Updated:11/7/2022

Credentials

Primary Credential:
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