Provider First Line Business Practice Location Address:
SPECIAL HEALTHCARE NEEDS DENTAL CLINIC
Provider Second Line Business Practice Location Address:
MALCOLM HEALTH SCIENCES MOOS TOWER, 515 DELAWARE ST. SE
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-625-4777
Provider Business Practice Location Address Fax Number:
612-625-0613
Provider Enumeration Date:
10/17/2024