| Dentures Asp | |
|
15910 46th Ave N Plymouth MN 55446 | |
| (763) 218-5350 | |
| (763) 561-5761 |
| Full Name | Dentures Asp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15910 46th Ave N, Plymouth, Minnesota |
| Authorized Official Name and Position | David E Domaas (PRESIDENT) |
| Authorized Official Contact | 7632185350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentures Asp 15910 46th Ave N Plymouth MN 55446 Ph: (763) 218-5350 | Dentures Asp 15910 46th Ave N Plymouth MN 55446 Ph: (763) 218-5350 |
| NPI Number | 1427156249 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427156249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9409 (Minnesota) | Primary |
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