Fifth Avenue Dental, P.a.

NPI 1841229598 - Dentist - 1223G0001X

NPI Details
NPI 1841229598
Enumeration Date 07/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT R. ROBERT
Position PRESIDENT
Phone (763) 421-5320
Fax (763) 421-2677
Practice Location
1829 5TH AVE
ANOKA MN, 55303-2566, US
Phone (763) 421-5320
Fax (763) 421-2677
Business Location
1829 5TH AVE
ANOKA MN, 55303-2566, US
Phone (763) 421-5320
Fax (763) 421-2677
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D4910
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According to our database, Fifth Avenue Dental, P.a. NPI is 1841229598, taxonomy code is 1223G0001X and license number is D4910, license state is located at Minnesota. Fifth Avenue Dental, P.a. physically located at 1829 5th Ave, Anoka MN, 55303-2566. NPI Number 1033115704 has the healthcare provider type.

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1841229598 NPI number is provided on an as is basis without warranty of any kind. 1841229598 is maintained by the National Plan & Provider Enumeration System. The contents of Fifth Avenue Dental, P.a. are for informational purposes only.