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General Practice Dentist

Savage, Minnesota

Provider NPI: 1801099759

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
13899 HIGHWAY 13 S  SAVAGE, MN 55378 US
Tel: 952-440-2292  Fax: 952-440-2935

Business Mailing Address:
Tel: 706-627-7577  Fax: --

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
General Practice


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