Blaine Dentistry, PC
Dentist, General Practice in Blaine, MN. Organization (NPI-2).
NPI number1982007803
StatusActive
Last updated in NPPESOct 6, 2014
Details
- NPI
- 1982007803
- Entity type
- Organization (NPI-2)
- Legal business name
- Blaine Dentistry, PC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2014
- Last updated
- Oct 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Blaine Dentistry (Doing Business As)
Practice location
1384 109th Ave NeSuite 200
Blaine, MN 55434-4515
Phone 763-757-6000 · Fax 763-757-6004
Mailing address
17000 Red Hill AveIrvine, CA 92614-5626
Phone 714-845-8890 · Fax 949-474-1495
Authorized official
Michael J Perpich
Owner
7637576000
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All 51 General Practice Dentistry providers in Blaine · All 1,032 providers in Blaine
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