Luna Land Dental Corp.

LBN: Luna Land Dental Corp.
Luna Land Dental Corp. is an health care organization with primary practice located at 4080 W Broadway Ave Ste 300 , Robbinsdale MN 55422-5607. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Luna Land Dental Corp. can be contacted via phone (651) 292-9331, or through Park, David J via phone (651) 788-7045.

Contact Information

Primary practice address
4080 W Broadway Ave Ste 300 Robbinsdale MN 55422-5607
Phone: (651) 292-9331
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, David J Doctor of Dental Medicine (DMD)
Phone: (651) 788-7045

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1770056426
LBN Legal business name Luna Land Dental Corp.
DBA Doing business as
Authorized official Park, David J Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2019
Last updated Jan 5th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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