| Penn Avenue Family Dental | |
|
5346 Penn Ave S Minneapolis MN 55419-1065 | |
| (612) 922-0894 | |
| (612) 922-1352 |
| Full Name | Penn Avenue Family Dental |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376648402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9220 (Minnesota) | Primary |
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