| Terry D Bongard Dds Pa | |
|
3620 E 41st St Minneapolis MN 55406-3332 | |
| (612) 729-3244 | |
| Not Available |
| Full Name | Terry D Bongard Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3620 E 41st St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Terry Donald Bongard (PRESIDENT) |
| Authorized Official Contact | 6127293244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry D Bongard Dds Pa 3620 E 41st St Minneapolis MN 55406-3332 Ph: (612) 729-3244 | Terry D Bongard Dds Pa 3620 E 41st St Minneapolis MN 55406-3332 Ph: (612) 729-3244 |
| NPI Number | 1366629560 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366629560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8412 (Minnesota) | Primary |
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