Isles Dental Associates P.a | |
2534 Hennepin Ave Minneapolis MN 55405-3548 | |
(612) 374-4321 | |
(612) 381-8518 |
Full Name | Isles Dental Associates P.a |
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Speciality | Dentist - General Practice |
Location | 2534 Hennepin Ave, Minneapolis, Minnesota |
Authorized Official Name and Position | Dawn Marie Miller (ADMINISTRATOR) |
Authorized Official Contact | 6123744321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Isles Dental Associates P.a 2534 Hennepin Ave Minneapolis MN 55405-3548 Ph: (612) 374-4321 | Isles Dental Associates P.a 2534 Hennepin Ave Minneapolis MN 55405-3548 Ph: (612) 374-4321 |
NPI Number | 1447416607 |
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Provider Enumeration Date | 08/06/2008 |
Last Update Date | 08/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447416607 | NPI | - | NPPES |
1780655753 | Other | MN | NPI NUMBER |
1669547477 | Other | MN | NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D10995 (Michigan) | Primary |
1223G0001X | Dentist - General Practice | M11654 (Minnesota) | Secondary |
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