Facial Pain Center | |
6545 France Ave S Suite 366 Edina MN 55435 | |
(952) 926-3858 | |
Not Available |
Full Name | Facial Pain Center |
---|---|
Speciality | Clinic/center - Dental |
Location | 6545 France Ave S, Edina, Minnesota |
Authorized Official Name and Position | John Gulon (PRESIDENT) |
Authorized Official Contact | 6516330500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Facial Pain Center 2200 County Road C W Suite 2210 Roseville MN 55113-2550 Ph: (651) 633-0500 | Facial Pain Center 6545 France Ave S Suite 366 Edina MN 55435 Ph: (952) 926-3858 |
NPI Number | 1083762041 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 10/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083762041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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