Individual provider · Type 1 NPI

Carlos Ernesto Campodonico, DDS

General Practice Dentistry · Blaine, MN

NPI number 1154546877 Active

Practice location

11806 Aberdeen St NE Ste 150
Blaine, MN 55449-4748

Fax (763) 786-2939

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD12159 (MN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1154546877

Carlos Ernesto Campodonico, DDS's National Provider Identifier is 1154546877, issued on Apr 16, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Blaine, MN. The record was last updated on Aug 2, 2016.