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Individual

DR. DONALD V ECKELS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3300 EDINBOROUGH WAY, STE 203, EDINA, MN 55435-5958
(952) 893-0400
(952) 893-3840
Mailing address
3300 EDINBOROUGH WAY, STE 203, EDINA, MN 55435-5958
(952) 893-0400
(952) 893-3840

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8843
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03904EC
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
06/24/2005
Last updated
07/09/2007
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