Twin Cities Endodontics Specialist Pa | |
4640 Nicols Rd Ste 202 Eagan MN 55122-7400 | |
(651) 994-1344 | |
Not Available |
Full Name | Twin Cities Endodontics Specialist Pa |
---|---|
Speciality | Dentist - Endodontics |
Location | 4640 Nicols Rd Ste 202, Eagan, Minnesota |
Authorized Official Name and Position | Alan Law (PRESIDENT) |
Authorized Official Contact | 6516330500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Twin Cities Endodontics Specialist Pa 2200 County Road C W Ste 2210 Roseville MN 55113-2551 Ph: (651) 746-2815 | Twin Cities Endodontics Specialist Pa 4640 Nicols Rd Ste 202 Eagan MN 55122-7400 Ph: (651) 994-1344 |
NPI Number | 1174045975 |
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Provider Enumeration Date | 07/13/2017 |
Last Update Date | 10/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174045975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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