Individual
ANUPAM M GATECHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
8511 JEFFERSON LN N, BROOKLYN PARK, MN 55445-2121
(763) 205-0526
(763) 205-0527
Mailing address
8511 JEFFERSON LN N, BROOKLYN PARK, MN 55445-2121
(763) 205-0526
(763) 205-0527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12203
MN
Other
Enumeration date
10/24/2007
Last updated
12/18/2014
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