Endodontic Professionals Pa Arbor Lakes Endodontics

NPI 1003009374 - Dentist - 1223E0200X

NPI Details
NPI 1003009374
Enumeration Date 08/21/2007
Last Updated 08/21/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THOMAS A THOMAS
Position VICE PRESIDENT
Phone (763) 416-3619
Fax (763) 416-3695
Practice Location
12000 ELM CREEK BLVD
SUITE 240
MAPLE GROVE MN, 55369, US
Phone (763) 416-3619
Fax (763) 416-3695
Business Location
12000 ELM CREEK BLVD
SUITE 240
MAPLE GROVE MN, 55369, US
Phone (763) 416-3619
Fax (763) 416-3695
Toxanomy
Taxonomy Code 1223E0200X
License State Minnesota
License Number 6500003
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According to our database, Endodontic Professionals Pa Arbor Lakes Endodontics NPI is 1003009374, taxonomy code is 1223E0200X and license number is 6500003, license state is located at Minnesota. Endodontic Professionals Pa Arbor Lakes Endodontics physically located at 12000 Elm Creek Blvd, Maple Grove MN, 55369. NPI Number 1033115704 has the healthcare provider type.

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1003009374 NPI number is provided on an as is basis without warranty of any kind. 1003009374 is maintained by the National Plan & Provider Enumeration System. The contents of Endodontic Professionals Pa Arbor Lakes Endodontics are for informational purposes only.