| 901 Family Dentistry | |
|
901 23rd Ave Ne Minneapolis MN 55418-3609 | |
| (612) 789-9444 | |
| Not Available |
| Full Name | 901 Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 901 23rd Ave Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Maria Reka Koerner-vajna (PRESIDENT) |
| Authorized Official Contact | 6125016133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 901 Family Dentistry 100 Seymour Ave Se Minneapolis MN 55414-3558 Ph: (612) 501-6133 | 901 Family Dentistry 901 23rd Ave Ne Minneapolis MN 55418-3609 Ph: (612) 789-9444 |
| NPI Number | 1619277043 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 11/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619277043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11886 (Minnesota) | Primary |
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