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1538177944
EDGAR MANTILLA
MINNEAPOLIS, MN
NPI
1538177944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN D11889)
Enumeration Date
2006-08-03
Last Update Date
2014-10-24
Business Address
-- EDGAR MANTILLA DDS
2001 BLOOMINGTON AVE S
MINNEAPOLIS, MN 55404-3074
Phone number: 612-301-3433
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Mailing Address
-- EDGAR MANTILLA DDS
2001 BLOOMINGTON AVE S
MINNEAPOLIS, MN 55404-3074
Phone number: 612-301-3433
Copy
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