NPI 1063512234
Family Periodontic Specialists, Plc
Practice location
- Address
- 6601 Lyndale Ave S STE 220, Richfield, MN 55423-2493
- Phone
- (612) 861-9123
Authorised official
- Name
- Belinda Huerta
- Title
- Credentialing Coordinator
- Phone
- (217) 540-2100
Registered specialties
Periodontics
Primary
Registry record
- NPI
- 1063512234
- Entity type
- Organization
- NPI issued
- 25 Sep 2006
- Record last updated
- 10 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.