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Individual

ANDY A TU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-2495
Mailing address
425 ERIE ST SE APT 201, MINNEAPOLIS, MN 55414-3042
(415) 623-8102

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14460
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/14/2019
Last updated
10/05/2020
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