Provider First Line Business Practice Location Address:
UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Provider Second Line Business Practice Location Address:
515 DELAWARE STREET MOOS TOWER 7-194
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55455-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-306-3070
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2010