John L Connolly DDS

NPI 1396813820 - Dentist - 1223G0001X

NPI Details
NPI 1396813820
Gender Male
Enumeration Date 12/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1600 WASHINGTON AVE
CLOQUET MN, 55720, US
Phone (218) 879-6703
Fax (218) 879-7029
Business Location
1600 WASHINGTON AVE
CLOQUET MN, 55720, US
Phone (218) 879-6703
Fax (218) 879-7029
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 8214
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According to our database, Mr. John L Connolly DDS NPI is 1396813820, taxonomy code is 1223G0001X and license number is 8214, license state is located at Minnesota. John L Connolly DDS physically located at 1600 Washington Ave, Cloquet MN, 55720. NPI Number John L Connolly DDS has the Individual type.

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1396813820 NPI number is provided on an as is basis without warranty of any kind. 1396813820 is maintained by the National Plan & Provider Enumeration System. The contents of John L Connolly DDS are for informational purposes only.