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1003108895
NICOLLET DENTAL
MINNEAPOLIS, MN
NPI
1003108895
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Entity Type
Organization
Authorized Contact
CASEY LEE NELSON
Owner
612-866-8550
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN D12104)
Enumeration Date
2011-05-11
Last Update Date
2011-05-11
Business Address
NICOLLET DENTAL
6101 NICOLLET AVE. SO.
MINNEAPOLIS, MN 55419
Phone number: 612-866-8550
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Mailing Address
NICOLLET DENTAL
6101 NICOLLET AVE. SO.
MINNEAPOLIS, MN 55419
Phone number: 612-866-8550
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