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Individual

SOLONGO PUREV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
4820 MINNETONKA BLVD, SUITE #202, ST LOUIS PARK, MN 55416-2263
(952) 929-2388
Mailing address
4820 MINNETONKA BLVD, SUITE #202, ST LOUIS PARK, MN 55416-2263
(952) 929-2388

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11735
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39337
DELTA - HEALTH PARTNERS
MN
Enumeration date
11/01/2006
Last updated
07/08/2007
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