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Organization
BRITE DENTAL MINNESOTA P.C.
Active
Organization
BRITE DENTAL MINNESOTA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI M. AGEL DDS (OWNER/GENERAL DENTIST)
(708) 439-4655
Entity
Organization
Contact information
Practice address
334 EAST LAKE ST., MINNEAPOLIS, MN 55408
(708) 439-4655
Mailing address
334 EAST LAKE ST., MINNEAPOLIS, MN 55408
(708) 439-4655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12501
MN
Other
Enumeration date
04/28/2010
Last updated
05/20/2010
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