Penn Avenue Family Dental | |
5346 Penn Ave S Minneapolis MN 55419-1065 | |
(612) 922-0894 | |
(612) 922-1352 |
Full Name | Penn Avenue Family Dental |
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Speciality | Dentist - General Practice |
Location | 5346 Penn Ave S, Minneapolis, Minnesota |
Authorized Official Name and Position | Robert G Mcnab (OWNER) |
Authorized Official Contact | 6129220894 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Penn Avenue Family Dental 5346 Penn Ave S Minneapolis MN 55419-1065 Ph: (612) 922-0894 | Penn Avenue Family Dental 5346 Penn Ave S Minneapolis MN 55419-1065 Ph: (612) 922-0894 |
NPI Number | 1376648402 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1376648402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 9220 (Minnesota) | Primary |
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