Northdale Dentist PA
NPI #1619287562 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1619287562
- Entity Type
- Organization
- Organization Name
- Northdale Dentist PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 13, 2010
- Last Updated
- Oct 13, 2010
Practice Location
- Address
- 2147, NORTHDALE BLVD NW.
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433
- Phone
- (763) 497-6977
Authorized Official
- Name
- DR. JAGANNATIAN RAMAKRISHNAN, B.D.S.
- Title
- DENTIST
- Phone
- (763) 218-2887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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