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Individual

DR. SONAL M KORATKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2220 RIVERSIDE AVE, HEALTHPARTNERS RIVERSIDE DENTAL CLINIC, MINNEAPOLIS, MN 55454-1321
(218) 263-8381
(218) 263-8383
Mailing address
2220 RIVERSIDE AVE, HEALTHPARTNERS RIVERSIDE DENTAL CLINIC, MINNEAPOLIS, MN 55454-1321
(612) 341-1400
(612) 341-1401

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11910
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
91056KO
BLUE CROSS BLUE SHIELD
MN
01
913172800
MN HEALTH CARE PROVIDER
MN
Enumeration date
03/30/2007
Last updated
01/02/2014
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