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Evergreen Dental Pllc
Dental Clinic/Center in Eden Prairie, Minnesota
NPI 1699483941

Evergreen Dental Pllc is a Dental Clinic/Center based in Eden Prairie, MN and is specialized in Dental. Evergreen Dental Pllc practices in Eden Prairie, MN. The NPI Number for Evergreen Dental Pllc is 1699483941 and holds a License No. (Minnesota).

The current practice location address for Evergreen Dental Pllc is 7890 Mitchell Rd, Eden Prairie, MN and can be reached out via phone at 952-937-7677.

Location: 7890 Mitchell Rd, Eden Prairie, MN, 55346-3004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699483941
Provider Name
Evergreen Dental Pllc
Credential
Provider Entity Type
Organization
Address
7890 Mitchell Rd, Eden Prairie, MN, 55346-3004
Phone Number
952-937-7677
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003256876 01 MN NPI
1144287962 01 MN NPI
institution
Provider Business Practice Location Address Details
Address
7890 Mitchell Rd
City
Eden Prairie
State
Minnesota
Zip
55344-2219
Phone Number
952-937-7677
Fax Number
person
Provider Business Mailing Address Details
Address
7890 Mitchell Rd
City
Eden Prairie
State
Minnesota
Zip
55344-2219
Phone Number
952-937-7677
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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