Individual
DR. IAN JERROD HUXFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
606 24TH AVE S, RIVERSIDE PROFESSIONAL BUILDING SUITE 200, MINNEAPOLIS, MN 55454
(612) 659-8689
Mailing address
740 37TH AVE NE, MINNEAPOLIS, MN 55421-3607
(763) 213-3613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14287
MN
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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