| Century College Dental Hygiene Program | |
|
3300 Century Ave N East Campus - Dental Clinic White Bear Lake MN 55110-1842 | |
| (651) 779-3983 | |
| (651) 779-3401 |
| Full Name | Century College Dental Hygiene Program |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3300 Century Ave N, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Linda Marie Jorgenson (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6517793983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Century College Dental Hygiene Program 3300 Century Ave N East Campus - Dental Clinic White Bear Lake MN 55110-1842 Ph: (651) 779-3983 | Century College Dental Hygiene Program 3300 Century Ave N East Campus - Dental Clinic White Bear Lake MN 55110-1842 Ph: (651) 779-3983 |
| NPI Number | 1043509425 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043509425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | H1557 (Minnesota) | Primary |
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