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Individual
DR. DUAINE BRADLEY DODDS
Active
Individual
DR. DUAINE BRADLEY DODDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9017
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45131DO
MEDICAL ASSISTANCE
MN
01
—
9723200000
MEDICAL ASSISTANCE
MN
Enumeration date
09/28/2006
Last updated
08/26/2008
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