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Prosthodontic Associates, Pllc
Dental Clinic/Center in Roseville, Minnesota
NPI 1164956694

Prosthodontic Associates, Pllc is a Dental Clinic/Center based in Roseville, MN and is specialized in Dental. Prosthodontic Associates, Pllc practices in Roseville, MN. The NPI Number for Prosthodontic Associates, Pllc is 1164956694 and holds a License No. D12653 (Minnesota).

The current practice location address for Prosthodontic Associates, Pllc is 2233 Hamline Ave N, Roseville, MN and can be reached out via phone at 651-633-4914 and via fax at 651-633-5126.

Location: 2233 Hamline Ave N, Roseville, MN, 55113-5009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164956694
Provider Name
Prosthodontic Associates, Pllc
Credential
Provider Entity Type
Organization
Address
2233 Hamline Ave N, Roseville, MN, 55113-5009
Phone Number
651-633-4914
Fax Number
651-633-5126
Provider Enumeration Date
04/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2233 Hamline Ave N
City
Roseville
State
Minnesota
Zip
55113-5009
Phone Number
651-633-4914
Fax Number
651-633-5126
person
Provider Business Mailing Address Details
Address
2233 Hamline Ave N
City
Roseville
State
Minnesota
Zip
55113-5009
Phone Number
651-633-4914
Fax Number
651-633-5126
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D12653 (Minnesota)
Definition
Definition to come...
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