Bruce K.a. Dormanen, P.a. | |
2150 3rd Ave Ste 200 Anoka MN 55303-2200 | |
(763) 421-9292 | |
(763) 421-7559 |
Full Name | Bruce K.a. Dormanen, P.a. |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2150 3rd Ave Ste 200, Anoka, Minnesota |
Authorized Official Name and Position | Bruce K.a. Dormanen (CEO) |
Authorized Official Contact | 7634219292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bruce K.a. Dormanen, P.a. 2150 3rd Ave Ste 200 Anoka MN 55303-2200 Ph: (763) 421-9292 | Bruce K.a. Dormanen, P.a. 2150 3rd Ave Ste 200 Anoka MN 55303-2200 Ph: (763) 421-9292 |
NPI Number | 1316035595 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316035595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8151 (Minnesota) | Primary |
John J Keller Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 552 E Main St, Anoka, MN 55303 Phone: 763-421-4550 Fax: 763-421-5428 | |
Drs. Johnson And Yseth, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 Jackson St, Suite 117, Anoka, MN 55303 Phone: 763-421-3330 Fax: 763-421-3331 | |
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Smile Orthodontics Stillwater, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 3rd Ave Ste 110, Anoka, MN 55303 Phone: 651-351-7777 | |
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