Djcm Pllc

NPI 1134507718 - Dentist - 122300000X

NPI Details
NPI 1134507718
Enumeration Date 05/14/2015
Last Updated 05/14/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name BECKY ROSE BECKY
Position MANAGER
Phone (612) 823-1816
Fax (612) 823-5955
Practice Location
5524 NICOLLET AVE
MINNEAPOLIS MN, 55419-1930, US
Phone (612) 823-1816
Fax (612) 823-5955
Business Location
5524 NICOLLET AVE
MINNEAPOLIS MN, 55419-1930, US
Phone (612) 823-1816
Fax (612) 823-5955
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1134507718 NPI Number
 

According to our database, Djcm Pllc NPI is 1134507718, taxonomy code is 122300000X Djcm Pllc physically located at 5524 Nicollet Ave, Minneapolis MN, 55419-1930. NPI Number 1033115704 has the healthcare provider type.

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1134507718 NPI number is provided on an as is basis without warranty of any kind. 1134507718 is maintained by the National Plan & Provider Enumeration System. The contents of Djcm Pllc are for informational purposes only.