Individual
MONA VINOD GAJERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14344 BURNHAVEN DR, BURNSVILLE, MN 55306-4928
(952) 435-6221
Mailing address
1410 NICOLLET AVE APT 319, MINNEAPOLIS, MN 55403-2606
(626) 419-1837
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
S175
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2018
Last updated
04/01/2022
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