University Ave Dental, Pllc

NPI #1093468852 in Blaine, Minnesota

Provider Information

NPI Number
1093468852
Entity Type
Organization
Organization Name
University Ave Dental, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 1, 2022
Last Updated
Feb 1, 2022

Practice Location

Address
10155 UNIVERSITY AVE NE STE 112
City
Blaine
ZIP Code
55434-8058
Phone
(763) 784-1242

Authorized Official

Name
MARTY SPANISH, DDS
Title
OWNER
Phone
(952) 836-7924

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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