Ev Dental P.a

NPI #1518407014 in Burnsville, Minnesota

Provider Information

NPI Number: 1518407014
Entity Type: Organization
Organization Name: Ev Dental P.a
Primary Specialty: Dentist
Enumeration Date: Mar 2, 2017
Last Updated: Mar 2, 2017

Practice Location

Address: 12401 NICOLLET AVE
City: Burnsville
State: Minnesota
ZIP Code: 55337-4859
Phone: (952) 890-4255

Authorized Official

Name: DR. JOHN D MITTELSTEADT, DDS
Title: OWNER
Phone: (651) 681-9044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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