Organization
DULAC DENTAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL MARGARET DULAC DDS (OWNER)
(952) 925-2176
Entity
Organization
Contact information
Practice address
6550 YORK AVE S STE 202, EDINA, MN 55435-2333
(952) 925-2176
Mailing address
6550 YORK AVE S STE 202, EDINA, MN 55435-2333
(952) 925-2176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10883
MN
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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