Thomas John Cornelissen, D.D.S.
NPI #1053364513 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1053364513
- Entity Type
- Individual
- Name
- Thomas John Cornelissen, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3262 W LAKE ST
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55416-4512
- Phone
- (612) 925-6010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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