Serene Oaks Dental
Dentist, General Practice in North Oaks, MN. Organization (NPI-2).
NPI number1346356052
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1346356052
- Entity type
- Organization (NPI-2)
- Legal business name
- Serene Oaks Dental
- Organization subpart
- No
- Enumeration date
- Aug 23, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 11597 | MN | Yes |
Practice location
400 Village Center DrSuite 100
North Oaks, MN 55127-7203
Phone 651-288-3111 · Fax 651-288-3113
Mailing address
400 Village Center DrSuite 100
North Oaks, MN 55127-7203
Phone 651-288-3111 · Fax 651-288-3113
Authorized official
Gesica Tenel Horn
President Dentist
6512883111
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