Endodontic Professionals Pa Plymouth Endodontics

NPI 1093908360 - Dentist - 1223E0200X

NPI Details
NPI 1093908360
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) 559-0859
Fax (763) 559-4356
Practice Location
3401 HWY 169 N
PLYMOUTH MN, 55441, US
Phone (763) 559-0859
Fax (763) 559-4356
Business Location
3401 HWY 169 N
PLYMOUTH MN, 55441, US
Phone (763) 559-0859
Fax (763) 559-4356
Toxanomy
Taxonomy Code 1223E0200X
License State Minnesota
License Number 1093720
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According to our database, Endodontic Professionals Pa Plymouth Endodontics NPI is 1093908360, taxonomy code is 1223E0200X and license number is 1093720, license state is located at Minnesota. Endodontic Professionals Pa Plymouth Endodontics physically located at 3401 Hwy 169 N, Plymouth MN, 55441. NPI Number 1033115704 has the healthcare provider type.

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1093908360 NPI number is provided on an as is basis without warranty of any kind. 1093908360 is maintained by the National Plan & Provider Enumeration System. The contents of Endodontic Professionals Pa Plymouth Endodontics are for informational purposes only.