| Donald A Quinn Jr. Dds | |
|
207 Lowry Ave Ne Minneapolis MN 55418-3420 | |
| (612) 787-0545 | |
| (612) 787-0544 |
| Full Name | Donald A Quinn Jr. Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 207 Lowry Ave Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Donald Arthur Quinn (OWNER) |
| Authorized Official Contact | 6127870545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald A Quinn Jr. Dds 207 Lowry Ave Ne Minneapolis MN 55418-3420 Ph: (612) 787-0545 | Donald A Quinn Jr. Dds 207 Lowry Ave Ne Minneapolis MN 55418-3420 Ph: (612) 787-0545 |
| NPI Number | 1811136575 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811136575 | NPI | - | NPPES |
| 084218400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8042 (Minnesota) | Primary |
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