Southridge Dental, Pa | |
1320 Mendota Rd Inver Grove Heights MN 55077-1255 | |
(651) 451-1884 | |
(651) 306-9709 |
Full Name | Southridge Dental, Pa |
---|---|
Speciality | Dentist |
Location | 1320 Mendota Rd, Inver Grove Heights, Minnesota |
Authorized Official Name and Position | Sheryl Bottjen Tandon (DENTIST) |
Authorized Official Contact | 6514511884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southridge Dental, Pa 1320 Mendota Rd Inver Grove Heights MN 55077-1255 Ph: (651) 451-1884 | Southridge Dental, Pa 1320 Mendota Rd Inver Grove Heights MN 55077-1255 Ph: (651) 451-1884 |
NPI Number | 1386166734 |
---|---|
Provider Enumeration Date | 07/07/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386166734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D12847 (Minnesota) | Primary |
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