Craig J Brandenburg Dds Ltd

NPI 1013070291 - Dentist - 1223G0001X

NPI Details
NPI 1013070291
Enumeration Date 12/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CRAIG J CRAIG
Position OWNER
Phone (612) 721-6233
Fax (612) 721-5723
Practice Location
5201 BLOOMINGTON AVE
MINNEAPOLIS MN, 55417-1819, US
Phone (612) 721-6233
Fax (612) 721-5723
Business Location
5201 BLOOMINGTON AVE
MINNEAPOLIS MN, 55417-1819, US
Phone (612) 721-6233
Fax (612) 721-5723
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D9418
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According to our database, Craig J Brandenburg Dds Ltd NPI is 1013070291, taxonomy code is 1223G0001X and license number is D9418, license state is located at Minnesota. Craig J Brandenburg Dds Ltd physically located at 5201 Bloomington Ave, Minneapolis MN, 55417-1819. NPI Number 1033115704 has the healthcare provider type.

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1013070291 NPI number is provided on an as is basis without warranty of any kind. 1013070291 is maintained by the National Plan & Provider Enumeration System. The contents of Craig J Brandenburg Dds Ltd are for informational purposes only.