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Dr. Anthony August Pesola, DDS

Dentist in Eden Prairie, MN. Individual provider (NPI-1).

NPI number1285641803
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1285641803
Entity type
Individual (NPI-1)
Name
Dr. Anthony August Pesola
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 3, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD7867MNYes

Practice location

16518 West 78th Street
Eden Prairie, MN 55346

Phone 952-937-2137 · Fax 952-937-5820

Mailing address

16518 West 78th Street
Eden Prairie, MN 55346

Phone 952-937-2137 · Fax 952-937-5820

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