Individual
PALLAVI BHOSALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1670 BEAM AVE STE 204, MAPLEWOOD, MN 55109-1227
(763) 270-5776
Mailing address
1159 AUTUMN ST, ROSEVILLE, MN 55113-6102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13527
MN
Other
Enumeration date
06/16/2015
Last updated
07/25/2025
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