| Joann C Boraas, Dds, Pa | |
|
6945 Penn Ave S Suite 102 Richfield MN 55423-2081 | |
| (612) 866-4041 | |
| (612) 866-4042 |
| Full Name | Joann C Boraas, Dds, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6945 Penn Ave S, Richfield, Minnesota |
| Authorized Official Name and Position | Joann Christine Boraas (CORPORATION PRESIDENT) |
| Authorized Official Contact | 6128664041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joann C Boraas, Dds, Pa 6945 Penn Ave S Suite 102 Richfield MN 55423-2081 Ph: (612) 866-4041 | Joann C Boraas, Dds, Pa 6945 Penn Ave S Suite 102 Richfield MN 55423-2081 Ph: (612) 866-4041 |
| NPI Number | 1932313194 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932313194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9654 (Minnesota) | Primary |
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