EDGAR MANTILLA

MINNEAPOLIS, MN
NPI1538177944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  D11889)
Enumeration Date2006-08-03
Last Update Date2014-10-24
Business Address
-- EDGAR MANTILLA DDS
2001 BLOOMINGTON AVE S
MINNEAPOLIS, MN 55404-3074
Phone number: 612-301-3433
Mailing Address
-- EDGAR MANTILLA DDS
2001 BLOOMINGTON AVE S
MINNEAPOLIS, MN 55404-3074
Phone number: 612-301-3433
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