Nicollet 38th St Dental

NPI 1043471337 - Dentist - 1223G0001X

NPI Details
NPI 1043471337
Enumeration Date 06/19/2008
Last Updated 06/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHARLES W CHARLES
Position DENTIST / OWNER
Phone (612) 825-7835
Fax (612) 825-3819
Practice Location
17 E 38TH ST
MINNEAPOLIS MN, 55409-1341, US
Phone (612) 825-7835
Fax (612) 825-3819
Business Location
17 E 38TH ST
MINNEAPOLIS MN, 55409-1341, US
Phone (612) 825-7835
Fax (612) 825-3819
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D9005
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According to our database, Nicollet 38th St Dental NPI is 1043471337, taxonomy code is 1223G0001X and license number is D9005, license state is located at Minnesota. Nicollet 38th St Dental physically located at 17 E 38th St, Minneapolis MN, 55409-1341. NPI Number 1033115704 has the healthcare provider type.

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1043471337 NPI number is provided on an as is basis without warranty of any kind. 1043471337 is maintained by the National Plan & Provider Enumeration System. The contents of Nicollet 38th St Dental are for informational purposes only.