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M D Sween D.d.s. Pa
Dental Clinic/Center in Crystal, Minnesota
NPI 1215167325

M D Sween D.d.s. Pa is a Dental Clinic/Center based in Crystal, MN and is specialized in Dental. M D Sween D.d.s. Pa practices in Crystal, MN. The NPI Number for M D Sween D.d.s. Pa is 1215167325 and holds a License No. (Minnesota).

The current practice location address for M D Sween D.d.s. Pa is 3548 Noble Ave N, Crystal, MN and can be reached out via phone at 763-521-2254 and via fax at 763-521-5263.

Location: 3548 Noble Ave N, Crystal, MN, 55422-2866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215167325
Provider Name
M D Sween D.d.s. Pa
Credential
Provider Entity Type
Organization
Address
3548 Noble Ave N, Crystal, MN, 55422-2866
Phone Number
763-521-2254
Fax Number
763-521-5263
Provider Enumeration Date
07/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
216652000 05 MN
institution
Provider Business Practice Location Address Details
Address
3548 Noble Ave N
City
Crystal
State
Minnesota
Zip
55422-2866
Phone Number
763-521-2254
Fax Number
763-521-5263
person
Provider Business Mailing Address Details
Address
3548 Noble Ave N
City
Crystal
State
Minnesota
Zip
55422-2866
Phone Number
763-521-2254
Fax Number
763-521-5263
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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