Dulac Dental Ltd
Dentist, General Practice in Edina, MN. Organization (NPI-2).
NPI number1154568293
StatusActive
Last updated in NPPESJan 12, 2009
Details
- NPI
- 1154568293
- Entity type
- Organization (NPI-2)
- Legal business name
- Dulac Dental Ltd
- Organization subpart
- No
- Enumeration date
- Jan 12, 2009
- Last updated
- Jan 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D10883 | MN | Yes |
Practice location
6550 York Ave S Ste 202Edina, MN 55435-2333
Phone 952-925-2176
Mailing address
6550 York Ave S Ste 202Edina, MN 55435-2333
Phone 952-925-2176
Authorized official
Jill Margaret Dulac
Owner
9529252176
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