Individual
DR. NORMAN VERNON EID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
515 DELAWARE ST SE, DEPARTMENT OF ORAL RADIOLOGY, MINNEAPOLIS, MN 55455-0357
(612) 625-5642
Mailing address
2760 MEDICINE RIDGE RD, PLYMOUTH, MN 55441-4621
(763) 545-6190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9269
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D9269
MINNESOTA BOARD OF DENTISRY
MN
Enumeration date
03/01/2012
Last updated
03/07/2023
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