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Organization
MINNESOTA HEAD AND NECK SURGERY PLLC
Active
Organization
MINNESOTA HEAD AND NECK SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK KADEMANI DMD, MD (OWNER)
(320) 257-9555
Entity
Organization
Contact information
Practice address
2380 TROOP DR UNIT 202, SARTELL, MN 56377-4637
(320) 257-9555
Mailing address
2380 TROOP DR UNIT 202, SARTELL, MN 56377-4637
(320) 257-9555
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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