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Campodonico Family & Cosmetic Dentistry PC

NPI #1104249259 in Blaine, Minnesota

Provider Information

NPI Number
1104249259
Entity Type
Organization
Organization Name
Campodonico Family & Cosmetic Dentistry PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 27, 2014
Last Updated
Jan 27, 2014

Practice Location

Address
11806 ABERDEEN ST NE
Address 2
SUITE 150
City
Blaine
State
Minnesota
ZIP Code
55449-4736
Phone
(763) 786-1545

Authorized Official

Name
DR. CARLOS ERNESTO CAMPODONICO, DDS
Title
OWNER
Phone
(763) 786-1545

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice

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