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Individual
DANTE CARL BERETTA
Active
Individual
DANTE CARL BERETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37299
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006895
PREFERRED ONE
—
01
—
101135
MEDICA HEALTH PLANS
—
01
—
109970
U CARE
—
01
—
217795
ARAZ GROUP AMERICAS PPO
—
01
—
37299
LICENSE NUMBER
MN
01
—
396023400
MEDICAL ASSISTANCE
—
01
—
47A47BE
BLUE CROSS BLUE SHIELD
—
01
—
938027
FIRST HEALTH PLAN
—
01
—
HP17770
HEALTH PARTNERS
—
Enumeration date
11/07/2005
Last updated
07/29/2019
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