LICENSED DENTAL HYGIENE CARE NPI 1912303777

NPI Information

LICENSED DENTAL HYGIENE CARE is a general practice dentist in Edina, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LICENSED DENTAL HYGIENE CARE NPI is 1912303777. The provider is registered as an organization entity type.
The provider Is Doing Business As Senior Mobile Dental Minnesota Ltd.

The provider's business location address is:

5201 EDEN AVE
SUITE 50
EDINA, MN
ZIP 55436-316
Phone: (763) 545-7545
Fax: (952) 929-2067

The provider's authorized official is Patricia Michelle Vacha .
The authorized official title is Executive Director and has the following contact phone number (763) 545-7545.

The enumeration date for this NPI number is 11/6/2014 and was last updated on 11/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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