Uptown Dental Acquisition Company

NPI 1659458974 - Dentist - 1223G0001X

NPI Details
NPI 1659458974
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TAMARA TAMARA
Position OFFICE MANAGER
Phone (612) 827-3736
Fax (612) 821-9626
Practice Location
1406 W LAKE ST
SUITE 100
MINNEAPOLIS MN, 55408-2653, US
Phone (612) 827-3736
Fax (612) 821-9626
Business Location
1406 W LAKE ST
SUITE 100
MINNEAPOLIS MN, 55408-2653, US
Phone (612) 827-3736
Fax (612) 821-9626
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Uptown Dental Acquisition Company NPI is 1659458974, taxonomy code is 1223G0001X Uptown Dental Acquisition Company physically located at 1406 W Lake St, Minneapolis MN, 55408-2653. NPI Number 1033115704 has the healthcare provider type.

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1659458974 NPI number is provided on an as is basis without warranty of any kind. 1659458974 is maintained by the National Plan & Provider Enumeration System. The contents of Uptown Dental Acquisition Company are for informational purposes only.