Organization · Type 2 NPI
Nokomis Family Dental PA
Dental Clinic/Center · Minneapolis, MN
NPI number
1689284481
Active
Practice location
4948 34th Ave S
Minneapolis, MN 55417-1504
Mailing address
8910 Penn Ave S
Bloomington, MN 55431-2025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1689284481
Nokomis Family Dental PA's National Provider Identifier is 1689284481, issued on Aug 6, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 6, 2020.