| Swana Dental Delivery | |
|
6299 University Ave Ne Suite100 Fridley MN 55432-4918 | |
| (612) 250-8515 | |
| Not Available |
| Full Name | Swana Dental Delivery |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6299 University Ave Ne, Fridley, Minnesota |
| Authorized Official Name and Position | Gaurang Bhatt (DENTIST) |
| Authorized Official Contact | 6122508515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swana Dental Delivery 6299 University Ave Ne Suite100 Fridley MN 55432-4918 Ph: (612) 250-8515 | Swana Dental Delivery 6299 University Ave Ne Suite100 Fridley MN 55432-4918 Ph: (612) 250-8515 |
| NPI Number | 1588118434 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 08/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588118434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12197 (Minnesota) | Primary |
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