Campodonico Family & Cosmetic Dentistry Pc

NPI 1104249259 - Dentist - 1223G0001X

NPI Details
NPI 1104249259
Enumeration Date 01/27/2014
Last Updated 01/27/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CARLOS ERNESTO CARLOS
Position OWNER
Phone (763) 786-1545
Fax (763) 786-2939
Practice Location
11806 ABERDEEN ST NE
SUITE 150
BLAINE MN, 55449-4736, US
Phone (763) 786-1545
Fax (763) 786-2939
Business Location
11806 ABERDEEN ST NE
SUITE 150
BLAINE MN, 55449-4736, US
Phone (763) 786-1545
Fax (763) 786-2939
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Campodonico Family & Cosmetic Dentistry Pc NPI is 1104249259, taxonomy code is 1223G0001X Campodonico Family & Cosmetic Dentistry Pc physically located at 11806 Aberdeen St Ne, Blaine MN, 55449-4736. NPI Number 1033115704 has the healthcare provider type.

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1104249259 NPI number is provided on an as is basis without warranty of any kind. 1104249259 is maintained by the National Plan & Provider Enumeration System. The contents of Campodonico Family & Cosmetic Dentistry Pc are for informational purposes only.