Northwest Dental Center P.a. | |
2226 Central Ave Ne Minneapolis MN 55418-3708 | |
(612) 788-3133 | |
(612) 788-3133 |
Full Name | Northwest Dental Center P.a. |
---|---|
Speciality | Dentist - General Practice |
Location | 2226 Central Ave Ne, Minneapolis, Minnesota |
Authorized Official Name and Position | George Elias Demonakos (CEO) |
Authorized Official Contact | 6127883133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northwest Dental Center P.a. 2226 Central Ave Ne Minneapolis MN 55418-3708 Ph: (612) 788-3133 | Northwest Dental Center P.a. 2226 Central Ave Ne Minneapolis MN 55418-3708 Ph: (612) 788-3133 |
NPI Number | 1093771248 |
---|---|
Provider Enumeration Date | 04/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093771248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D10978 (Minnesota) | Primary |
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