Prinvev Dental P.a

NPI 1053481010 - Dentist - 122300000X

NPI Details
NPI 1053481010
Enumeration Date 11/08/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CARLA CARLA
Position OFFICE MANAGER
Phone (763) 536-1100
Fax (763) 536-1212
Practice Location
4227 WINNETKA AVE N
NEW HOPE MN, 55428-4924, US
Phone (763) 536-1100
Fax (763) 536-1212
Business Location
4227 WINNETKA AVE N
NEW HOPE MN, 55428, US
Phone (763) 536-1100
Fax (763) 536-1212
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Prinvev Dental P.a NPI is 1053481010, taxonomy code is 122300000X Prinvev Dental P.a physically located at 4227 Winnetka Ave N, New Hope MN, 55428-4924. NPI Number 1033115704 has the healthcare provider type.

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1053481010 NPI number is provided on an as is basis without warranty of any kind. 1053481010 is maintained by the National Plan & Provider Enumeration System. The contents of Prinvev Dental P.a are for informational purposes only.