specializing in dentist in Blaine, Minnesota

NPI: 1982007803

Provider Type

2

Practice Locations

Mailing Location

17000 RED HILL AVE

IRVINE, CA 92614

📞 7148458890

📠 9494741495

Practice Location

1384 109TH AVE NE

SUITE 200

BLAINE, MN 55434

📞 7637576000

📠 7637576004

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:10/6/2014
Last Updated:10/6/2014

Credentials

Primary Credential:
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