Individual
ANTHONY J DIANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
701 PARK AVE, P7, MINNEAPOLIS, MN 55415-1623
(612) 873-2370
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
O7744
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175520000
—
MN
Enumeration date
05/15/2006
Last updated
07/08/2007
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