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Blaine Kidds Pediatric Dentistry Pllc
Pediatric Dentist in Blaine, Minnesota
NPI 1538678057

Blaine Kidds Pediatric Dentistry Pllc is a Pediatric Dentist based in Hudson, MN and is specialized in Pediatric Dentistry. Blaine Kidds Pediatric Dentistry Pllc practices in Blaine, MN. The NPI Number for Blaine Kidds Pediatric Dentistry Pllc is 1538678057 and holds a License No. D11365 (Minnesota).

The current practice location address for Blaine Kidds Pediatric Dentistry Pllc is 1351 113Th Ave Ne, Blaine, MN and can be reached out via phone at 651-324-4270.

Location: 1351 113Th Ave Ne, Blaine, MN, 54016-1599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538678057
Provider Name
Blaine Kidds Pediatric Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
1351 113Th Ave Ne, Blaine, MN, 54016-1599
Phone Number
651-324-4270
Fax Number
Provider Enumeration Date
09/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
122648700 05 MN
1639126683 01 PROVIDER NPI
institution
Provider Business Practice Location Address Details
Address
1351 113Th Ave Ne
City
Blaine
State
Minnesota
Zip
55434-3874
Phone Number
651-324-4270
Fax Number
person
Provider Business Mailing Address Details
Address
1351 113Th Ave Ne
City
Blaine
State
Minnesota
Zip
55434-3874
Phone Number
651-324-4270
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D11365 (Minnesota)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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