Individual
LUKE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
606 24TH AVE S, MINNEAPOLIS, MN 55454-1455
(612) 659-8689
Mailing address
2718 IDAHO AVE N, CRYSTAL, MN 55427-2923
(763) 591-1208
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12965
MN
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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