Amana Dental Corp.
Dentist, General Practice in Minneapolis, MN. Organization (NPI-2).
NPI number1275770596
StatusActive
Last updated in NPPESJan 8, 2009
Details
- NPI
- 1275770596
- Entity type
- Organization (NPI-2)
- Legal business name
- Amana Dental Corp.
- Organization subpart
- No
- Enumeration date
- Jan 8, 2009
- Last updated
- Jan 8, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D 11855 | MN | Yes |
Practice location
2326 Central Ave NeMinneapolis, MN 55418-3710
Phone 612-789-2928 · Fax 612-789-2783
Mailing address
2326 Central Ave NeMinneapolis, MN 55418-3710
Phone 612-789-2928 · Fax 612-789-2783
Authorized official
Mazen Manla
Presedent
3124514050
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