NPI 1174913339

Today's Dental St.Cloud Sc

Organisation Point of Service Brooklyn Park, MN

Practice location

Address: 7960 Brooklyn Blvd, Brooklyn Park, MN 55445-2722
Phone: (763) 710-9937
Fax: (763) 710-9968
Mailing address: 4128 2nd St S, Saint Cloud, MN 56301-3704

Authorised official

Name: Crystal Roehlke
Title: Office Manager
Phone: (320) 774-2557

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence D12960 (MN)

Other Point of Service providers in Minnesota →

Registry record

NPI: 1174913339
Entity type: Organization
NPI issued: 27 Jan 2015
Record last updated: 9 Sep 2020

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.