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Minnesota Periodontal Associates, Pa
Periodontist in White Bear Lake, Minnesota
NPI 1508300252

Minnesota Periodontal Associates, Pa is a Periodontist based in White Bear Lake, MN and is specialized in Periodontics. Minnesota Periodontal Associates, Pa practices in White Bear Lake, MN. The NPI Number for Minnesota Periodontal Associates, Pa is 1508300252 and holds a License No. D13190 (Minnesota).

The current practice location address for Minnesota Periodontal Associates, Pa is 4801 Hwy 61 N., White Bear Lake, MN and can be reached out via phone at 651-429-2299.

Location: 4801 Hwy 61 N., White Bear Lake, MN, 55110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508300252
Provider Name
Minnesota Periodontal Associates, Pa
Credential
Provider Entity Type
Organization
Address
4801 Hwy 61 N., White Bear Lake, MN, 55110
Phone Number
651-429-2299
Fax Number
Provider Enumeration Date
12/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4801 Hwy 61 N.
City
White Bear Lake
State
Minnesota
Zip
55110-2753
Phone Number
651-429-2299
Fax Number
person
Provider Business Mailing Address Details
Address
4801 Hwy 61 N.
City
White Bear Lake
State
Minnesota
Zip
55110-2753
Phone Number
651-429-2299
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
D13190 (Minnesota)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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