| Iau Dental | |
|
7643 Jolly Ln Brooklyn Park MN 55428-1221 | |
| (763) 439-9506 | |
| Not Available |
| Full Name | Iau Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7643 Jolly Ln, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Boyee Barwu (CEO/ DENTIST) |
| Authorized Official Contact | 7634399506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iau Dental 7643 Jolly Ln Brooklyn Park MN 55428-1221 Ph: () - | Iau Dental 7643 Jolly Ln Brooklyn Park MN 55428-1221 Ph: (763) 439-9506 |
| NPI Number | 1407392186 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407392186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D13595 (Minnesota) | Primary |
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