Organization · Type 2 NPI
Bucca Dental LLC
Dental Clinic/Center · Minneapolis, MN
NPI number
1750774428
Active
Practice location
1508 E Lake St
Minneapolis, MN 55407-1720
Fax (612) 724-3114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D11889 (MN) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1750774428
Bucca Dental LLC's National Provider Identifier is 1750774428, issued on Mar 5, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 5, 2015.