Individual
DR. GENE GERALD DVORACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12 BRIDGE SQ, SUITE 106, ANOKA, MN 55303-2493
(763) 421-4002
(763) 421-4006
Mailing address
12 BRIDGE SQ, PO BOX 713, ANOKA, MN 55303-2493
(763) 421-4002
(763) 421-4006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7993
MN
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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