Jain Dental St. Louis Park, Pllc
NPI #1497373195 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1497373195
- Entity Type
- Organization
- Organization Name
- Jain Dental St. Louis Park, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TROWBRIDGE ENTERPRISES, PLLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 8, 2020
- Last Updated
- Jul 8, 2020
Practice Location
- Address
- 4600 EXCELSIOR BLVD
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4938
- Phone
- (952) 926-3392
Authorized Official
- Name
- DR. NICHOLAS BUSSA
- Title
- GENERAL DENTIST
- Phone
- (952) 926-3392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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