| Brite Dental Minnesota P.c. | |
|
334 East Lake St. Minneapolis MN 55408 | |
| (708) 439-4655 | |
| Not Available |
| Full Name | Brite Dental Minnesota P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 334 East Lake St., Minneapolis, Minnesota |
| Authorized Official Name and Position | Fadi M. Agel (OWNER/GENERAL DENTIST) |
| Authorized Official Contact | 7084394655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brite Dental Minnesota P.c. 334 East Lake St. Minneapolis MN 55408 Ph: (708) 439-4655 | Brite Dental Minnesota P.c. 334 East Lake St. Minneapolis MN 55408 Ph: (708) 439-4655 |
| NPI Number | 1134446370 |
|---|---|
| Provider Enumeration Date | 04/28/2010 |
| Last Update Date | 05/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134446370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12501 (Minnesota) | Primary |
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