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17610 19th Ave N Suite 8 Plymouth MN 55447-2600 | |
| (763) 475-2000 | |
| (763) 475-2001 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17610 19th Ave N, Plymouth, Minnesota |
| Authorized Official Name and Position | Nicholas Michael Weinand (DENTIST, CO-OWNER) |
| Authorized Official Contact | 7634752000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17610 19th Ave N Suite 8 Plymouth MN 55447-2600 Ph: (763) 475-2000 | 17610 19th Ave N Suite 8 Plymouth MN 55447-2600 Ph: (763) 475-2000 |
| NPI Number | 1669743738 |
|---|---|
| Provider Enumeration Date | 01/22/2012 |
| Last Update Date | 01/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669743738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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