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Metropolitan Periodontists

Dentist, Periodontics in Minneapolis, MN. Organization (NPI-2).

NPI number1669199741
StatusActive
Last updated in NPPESOct 20, 2022

Details

NPI
1669199741
Entity type
Organization (NPI-2)
Legal business name
Metropolitan Periodontists
Organization subpart
No
Enumeration date
Oct 20, 2022
Certification date
Oct 20, 2022
Last updated
Oct 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics––Yes

Practice location

825 Nicollet Mall
Ste. 210
Minneapolis, MN 55402-2618

Phone 612-332-0869 · Fax 612-332-2891

Mailing address

825 Nicollet Mall
Ste. 210
Minneapolis, MN 55402-2618

Phone 612-332-0869 · Fax 612-332-2891

Authorized official

Mark Wilson
Dentist
6123320869

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Other Periodontics providers in Minneapolis, MN

All 27 Periodontics providers in Minneapolis · All 27,202 providers in Minneapolis

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