| Jerome Dulac Dds | |
|
6550 York Ave S #202 Edina MN 55435-2347 | |
| (952) 925-2176 | |
| Not Available |
| Full Name | Jerome Dulac Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6550 York Ave S, Edina, Minnesota |
| Authorized Official Name and Position | Jerome Dulac (DENTIST) |
| Authorized Official Contact | 9529252176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Dulac Dds 6550 York Ave S #202 Edina MN 55435-2347 Ph: (952) 925-2176 | Jerome Dulac Dds 6550 York Ave S #202 Edina MN 55435-2347 Ph: (952) 925-2176 |
| NPI Number | 1811058746 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811058746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6205 (Minnesota) | Primary |
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