| Ev Dental P.a | |
|
12401 Nicollet Ave Burnsville MN 55337-4859 | |
| (952) 890-4255 | |
| Not Available |
| Full Name | Ev Dental P.a |
|---|---|
| Speciality | Dentist |
| Location | 12401 Nicollet Ave, Burnsville, Minnesota |
| Authorized Official Name and Position | John D Mittelsteadt (OWNER) |
| Authorized Official Contact | 6516819044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ev Dental P.a 12401 Nicollet Ave Burnsville MN 55337-4859 Ph: (952) 890-4255 | Ev Dental P.a 12401 Nicollet Ave Burnsville MN 55337-4859 Ph: (952) 890-4255 |
| NPI Number | 1518407014 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 03/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518407014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9630 (Minnesota) | Primary |
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