Organization · Type 2 NPI
Terry D Bongard DDS PA
Dental Clinic/Center · Minneapolis, MN
NPI number
1366629560
Active
Practice location
3620 E 41st St
Minneapolis, MN 55406-3332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 8412 (MN) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1366629560
Terry D Bongard DDS PA's National Provider Identifier is 1366629560, issued on Jan 30, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 30, 2008.