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1376257881
NATHAN LUCAS BOMM
EAGAN, MN
NPI
1376257881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN D14815)
Enumeration Date
2023-01-09
Last Update Date
2023-01-09
Business Address
DR. NATHAN LUCAS BOMM DDS
3405 PROMENADE AVE STE 300
EAGAN, MN 55123-4420
Phone number: 651-236-7458
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Mailing Address
DR. NATHAN LUCAS BOMM DDS
2813 4TH ST SE UNIT 620
MINNEAPOLIS, MN 55414-3013
Phone number: 262-225-7291
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