Iau Dental | |
7643 Jolly Ln Brooklyn Park MN 55428-1221 | |
(763) 439-9506 | |
Not Available |
Full Name | Iau Dental |
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Speciality | Clinic/center - Dental |
Location | 7643 Jolly Ln, Brooklyn Park, Minnesota |
Authorized Official Name and Position | Boyee Barwu (CEO/ DENTIST) |
Authorized Official Contact | 7634399506 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Iau Dental 7643 Jolly Ln Brooklyn Park MN 55428-1221 Ph: () - | Iau Dental 7643 Jolly Ln Brooklyn Park MN 55428-1221 Ph: (763) 439-9506 |
NPI Number | 1407392186 |
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Provider Enumeration Date | 01/18/2017 |
Last Update Date | 01/18/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407392186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D13595 (Minnesota) | Primary |
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