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1720200165
MICHAEL MATTINGLY
MINNEAPOLIS, MN
NPI
1720200165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 9998)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL MATTINGLY DDS
3255 LYNDALE AVE S
MINNEAPOLIS, MN 55408-3647
Phone number: 612-822-8968
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Mailing Address
Dr. MICHAEL MATTINGLY DDS
3255 LYNDALE AVE S
MINNEAPOLIS, MN 55408-3647
Phone number: 612-822-8968
Copy
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