Organization
JAVAN DENTAL INC.
Active
Other names
Eagle Valley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJAN JAVANMARDIAN D.D.S. (DENTIST/OWNER)
(651) 200-4747
Entity
Organization
Contact information
Practice address
683 BIELENBERG DR, SUITE 205, WOODBURY, MN 55125-1705
(651) 200-4747
(651) 998-1009
Mailing address
683 BIELENBERG DR, SUITE 205, WOODBURY, MN 55125-1705
(651) 200-4747
(651) 998-1009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
L11291
MN
Other
Enumeration date
07/20/2006
Last updated
02/07/2017
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