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Crystal Dental Care Inc
Dental Clinic/Center in Crystal, Minnesota
NPI 1316689201

Crystal Dental Care Inc is a Dental Clinic/Center based in Crystal, MN and is specialized in Dental. Crystal Dental Care Inc practices in Crystal, MN. The NPI Number for Crystal Dental Care Inc is 1316689201 and holds a License No. (Minnesota).

The current practice location address for Crystal Dental Care Inc is 5640 W Broadway Ave, Crystal, MN and can be reached out via phone at 176-353-7365.

Location: 5640 W Broadway Ave, Crystal, MN, 55428-3556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316689201
Provider Name
Crystal Dental Care Inc
Credential
Provider Entity Type
Organization
Address
5640 W Broadway Ave, Crystal, MN, 55428-3556
Phone Number
176-353-7365
Fax Number
Provider Enumeration Date
04/11/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1285706317 05 MN
institution
Provider Business Practice Location Address Details
Address
5640 W Broadway Ave
City
Crystal
State
Minnesota
Zip
55428-3556
Phone Number
176-353-7365
Fax Number
person
Provider Business Mailing Address Details
Address
5640 W Broadway Ave
City
Crystal
State
Minnesota
Zip
55428-3556
Phone Number
176-353-7365
Fax Number
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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