| Mnpl02 PLLC | |
|
1099 Helmo Ave N Ste 110 Oakdale MN 55128-6034 | |
| (651) 372-3300 | |
| (651) 337-8305 |
| Full Name | Mnpl02 PLLC |
|---|---|
| Speciality | Dentist |
| Location | 1099 Helmo Ave N Ste 110, Oakdale, Minnesota |
| Authorized Official Name and Position | Nicholas Bussa (MEMBER) |
| Authorized Official Contact | 2183498564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mnpl02 PLLC 14300 Clay Terrace Blvd Ste 249 Carmel IN 46032-3636 Ph: (317) 502-0717 | Mnpl02 PLLC 1099 Helmo Ave N Ste 110 Oakdale MN 55128-6034 Ph: (651) 372-3300 |
| NPI Number | 1407536196 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407536196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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