Brite Dental Minnesota P.c.
NPI #1134446370 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1134446370
- Entity Type
- Organization
- Organization Name
- Brite Dental Minnesota P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 28, 2010
- Last Updated
- May 20, 2010
Practice Location
- Address
- 334 EAST LAKE ST.
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55408
- Phone
- (708) 439-4655
Authorized Official
- Name
- FADI M. AGEL, DDS
- Title
- OWNER/GENERAL DENTIST
- Phone
- (708) 439-4655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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