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Organization
BIQ DENTAL PLLC
Active
Organization
BIQ DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHILPA REDDY REGATTI (OWNER)
(763) 325-4555
Entity
Organization
Contact information
Practice address
28 NATHAN LN N, PLYMOUTH, MN 55441-6306
(763) 325-4555
(763) 325-4556
Mailing address
28 NATHAN LN N, PLYMOUTH, MN 55441-6306
(763) 325-4555
(763) 325-4556
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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