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CRANIOFACIAL IMAGING

Oral and Maxillofacial Radiology

Edina, Minnesota

Provider NPI: 1285768812

Organization Information:
Organization Name:  CRANIOFACIAL IMAGING
Organization is not Subpart
Authorized Official:  SCOTT R BOWLBY  GENERAL PARTNER  952-9261626

Practice Location:
6545 FRANCE AVE S STE C61  EDINA, MN 55435 US
Tel: 952-926-1626  Fax: --

Business Mailing Address:
6545 FRANCE AVE S STE C61  EDINA, MN 55435 US
Tel: 952-926-1626  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0008XDental Providers
Dentist
Oral and Maxillofacial Radiology





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