institution
123 Brush Dental Llc
Dental Clinic/Center in Maplewood, Minnesota
NPI 1053807016

123 Brush Dental Llc is a Dental Clinic/Center based in Maplewood, MN and is specialized in Dental. 123 Brush Dental Llc practices in Maplewood, MN. The NPI Number for 123 Brush Dental Llc is 1053807016 and holds a License No. D9309 (Minnesota).

The current practice location address for 123 Brush Dental Llc is 1670 Beam Ave, Maplewood, MN and can be reached out via phone at 651-779-4195.

Location: 1670 Beam Ave, Maplewood, MN, 55109
institution
Provider Profile Details
NPI Number
1053807016
Provider Name
123 Brush Dental Llc
Credential
Provider Entity Type
Organization
Address
1670 Beam Ave, Maplewood, MN, 55109
Phone Number
651-779-4195
Fax Number
Provider Enumeration Date
07/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1670 Beam Ave
City
State
Zip
55109
Phone Number
651-779-4195
Fax Number
person
Provider Business Mailing Address Details
Address
1670 Beam Ave
City
State
Zip
55109
Phone Number
651-779-4195
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D9309 (Minnesota)
Definition
Definition to come...
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