Rejuv Skin & Laser Clinic | |
1625 Lena Ct Ste 300 Eagan MN 55122-2938 | |
(651) 287-3080 | |
(651) 905-3789 |
Full Name | Rejuv Skin & Laser Clinic |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1625 Lena Ct Ste 300, Eagan, Minnesota |
Authorized Official Name and Position | Steven Allen Selchow (OWNER) |
Authorized Official Contact | 6512873080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rejuv Skin & Laser Clinic 1625 Lena Ct Ste 300 Eagan MN 55122-2938 Ph: (651) 287-3080 | Rejuv Skin & Laser Clinic 1625 Lena Ct Ste 300 Eagan MN 55122-2938 Ph: (651) 287-3080 |
NPI Number | 1669671152 |
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Provider Enumeration Date | 07/13/2007 |
Last Update Date | 07/13/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669671152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | D9967 (Minnesota) | Primary |
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