Organization
NORTHWEST DENTAL CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ELIAS DEMONAKOS DDS (CEO)
(612) 788-3133
Entity
Organization
Contact information
Practice address
2226 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-3708
(612) 788-3133
(612) 788-3133
Mailing address
2226 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-3708
(612) 788-3133
(612) 788-3133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10978
MN
Other
Enumeration date
04/25/2006
Last updated
08/22/2020
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