| Endodontic Professionals Pa Plymouth Endodontics | |
|
3401 Hwy 169 N Plymouth MN 55441 | |
| (763) 559-0859 | |
| (763) 559-4356 |
| Full Name | Endodontic Professionals Pa Plymouth Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3401 Hwy 169 N, Plymouth, Minnesota |
| Authorized Official Name and Position | Thomas A Karn (VICE PRESIDENT) |
| Authorized Official Contact | 7635594356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Professionals Pa Plymouth Endodontics 3401 Hwy 169 N Plymouth MN 55441 Ph: (763) 559-0859 | Endodontic Professionals Pa Plymouth Endodontics 3401 Hwy 169 N Plymouth MN 55441 Ph: (763) 559-0859 |
| NPI Number | 1093908360 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093908360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 1093720 (Minnesota) | Primary |
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