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1386373603
SAMUAL LEE BACH
EAGAN, MN
NPI
1386373603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN D14759)
Additional Taxonomies
122300000X Dentist
(Licence: MN D145759)
Enumeration Date
2022-06-10
Last Update Date
2022-06-17
Business Address
SAMUAL LEE BACH DDS
1905 PLAZA DR
EAGAN, MN 55122-2883
Phone number: 651-686-6800
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Mailing Address
SAMUAL LEE BACH DDS
1905 PLAZA DR
EAGAN, MN 55122-2883
Phone number:
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