| Blaine Dentistry | |
|
1384 109th Ave Ne Suite 200 Blaine MN 55434-4515 | |
| (763) 757-6000 | |
| (763) 757-6004 |
| Full Name | Blaine Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1384 109th Ave Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Michael J Perpich (OWNER) |
| Authorized Official Contact | 7637576000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blaine Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Blaine Dentistry 1384 109th Ave Ne Suite 200 Blaine MN 55434-4515 Ph: (763) 757-6000 |
| NPI Number | 1982007803 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 10/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982007803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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