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Blaine Dentistry, PC

NPI #1982007803 in Blaine, Minnesota

Provider Information

NPI Number
1982007803
Entity Type
Organization
Organization Name
Blaine Dentistry, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 6, 2014
Last Updated
Oct 6, 2014

Practice Location

Address
1384 109TH AVE NE
Address 2
SUITE 200
City
Blaine
State
Minnesota
ZIP Code
55434-4515
Phone
(763) 757-6000

Authorized Official

Name
DR. MICHAEL J PERPICH, DDS
Title
OWNER
Phone
(763) 757-6000

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice

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