Family Dental Clinic, P.a.

NPI 1861546111 - Dentist - 1223G0001X

NPI Details
NPI 1861546111
Enumeration Date 01/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD RICHARD
Position PRESIDENT
Phone (612) 823-6262
Fax (612) 823-6783
Practice Location
4454 CHICAGO AVE
MINNEAPOLIS MN, 55407-3522, US
Phone (612) 823-6262
Fax (612) 823-6783
Business Location
4454 CHICAGO AVE
MINNEAPOLIS MN, 55407-3522, US
Phone (612) 823-6262
Fax (612) 823-6783
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D7605
Remove 1861546111 NPI Number
 

According to our database, Family Dental Clinic, P.a. NPI is 1861546111, taxonomy code is 1223G0001X and license number is D7605, license state is located at Minnesota. Family Dental Clinic, P.a. physically located at 4454 Chicago Ave, Minneapolis MN, 55407-3522. NPI Number 1033115704 has the healthcare provider type.

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1861546111 NPI number is provided on an as is basis without warranty of any kind. 1861546111 is maintained by the National Plan & Provider Enumeration System. The contents of Family Dental Clinic, P.a. are for informational purposes only.