I-Implant Dentistry

NPI #1518402395 in Sartell, Minnesota

Provider Information

NPI Number: 1518402395
Entity Type: Organization
Organization Name: I-Implant Dentistry
Primary Specialty: Dentist
Enumeration Date: Jan 3, 2017
Last Updated: Jan 3, 2017

Practice Location

Address: 1101 2ND ST S
Address 2: STE 209
City: Sartell
State: Minnesota
ZIP Code: 56377-2133
Phone: (320) 331-3000

Authorized Official

Name: DR. S BASSAS, D.D.S.
Title: GENERAL MANAGER
Phone: (320) 331-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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