Individual
JUAN VESGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 BLOOMINGTON AVE, CUHHC, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
Mailing address
2001 BLOOMINGTON AVE, CUHHC, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D12007
MN
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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