| Rejuv Skin & Laser Clinic | |
|
1625 Lena Ct Ste 300 Eagan MN 55122-2938 | |
| (651) 287-3080 | |
| (651) 905-3789 |
| Full Name | Rejuv Skin & Laser Clinic |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1625 Lena Ct Ste 300, Eagan, Minnesota |
| Authorized Official Name and Position | Steven Allen Selchow (OWNER) |
| Authorized Official Contact | 6512873080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuv Skin & Laser Clinic 1625 Lena Ct Ste 300 Eagan MN 55122-2938 Ph: (651) 287-3080 | Rejuv Skin & Laser Clinic 1625 Lena Ct Ste 300 Eagan MN 55122-2938 Ph: (651) 287-3080 |
| NPI Number | 1669671152 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669671152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D9967 (Minnesota) | Primary |
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