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Individual
DAVID C SWIDERSKI
Active
Individual
DAVID C SWIDERSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11819
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D9087
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
50992
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD29162
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
729449200
—
MN
01
—
P00052037
MEDICARE, RAILROAD
MN
Enumeration date
01/16/2006
Last updated
04/18/2009
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