Brooklyn Blvd. Dental
NPI #1932373032 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1932373032
- Entity Type
- Organization
- Organization Name
- Brooklyn Blvd. Dental
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Apr 18, 2008
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 5831 BROOKLYN BLVD
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55429-2521
- Phone
- (763) 533-8669
Authorized Official
- Name
- DR. WILLIAM SAM KOTONIAS, D.D.S.
- Title
- DENTIST/OWNER
- Phone
- (763) 533-8669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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