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516 Delaware St Se 7th Floor Pwb Minneapolis MN 55455-0356 | |
| (612) 626-3233 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 516 Delaware St Se, Minneapolis, Minnesota |
| Authorized Official Name and Position | Gary Carl Anderson (DEAN, UOFMN SCHOOL OF DENTISTRY) |
| Authorized Official Contact | 6126266529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
516 Delaware St Se 7th Floor Pwb Minneapolis MN 55455-0329 Ph: (612) 626-3233 | 516 Delaware St Se 7th Floor Pwb Minneapolis MN 55455-0356 Ph: (612) 626-3233 |
| NPI Number | 1134249774 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134249774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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