| Oak Cliff Dental Care | |
|
4640 Nicols Rd Suite 100 Eagan MN 55122-2306 | |
| (651) 454-1414 | |
| (651) 454-7987 |
| Full Name | Oak Cliff Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 4640 Nicols Rd, Eagan, Minnesota |
| Authorized Official Name and Position | Douglas Martin Bauer (DENTIST) |
| Authorized Official Contact | 6514541414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Cliff Dental Care 4640 Nicols Rd Suite 100 Eagan MN 55122-2306 Ph: (651) 454-1414 | Oak Cliff Dental Care 4640 Nicols Rd Suite 100 Eagan MN 55122-2306 Ph: (651) 454-1414 |
| NPI Number | 1619041969 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619041969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8912 (Minnesota) | Primary |
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