Craig Anthony Sulzdorf DDS

NPI 1083787121 - Dentist - 1223G0001X

NPI Details
NPI 1083787121
Gender Male
Enumeration Date 11/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1912 LEXINGTON AVE N STE 200
ROSEVILLE MN, 55113-6112, US
Phone (651) 631-3610
Fax
Business Location
1056 PARKER AVE
ROSEVILLE MN, 55113-6459, US
Phone (651) 487-3564
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 9187
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According to our database, Craig Anthony Sulzdorf DDS NPI is 1083787121, taxonomy code is 1223G0001X and license number is 9187, license state is located at Minnesota. Craig Anthony Sulzdorf DDS physically located at 1912 Lexington Ave N Ste 200, Roseville MN, 55113-6112. NPI Number Craig Anthony Sulzdorf DDS has the Individual type.

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1083787121 NPI number is provided on an as is basis without warranty of any kind. 1083787121 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Anthony Sulzdorf DDS are for informational purposes only.