Provider First Line Business Practice Location Address:
606 24TH AVE S SUITE 200
Provider Second Line Business Practice Location Address:
UMPHYSICIANS DENTAL CLINIC
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-659-8691
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2014