Individual
TAYING LOVAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
676 COUNTY HWY 10, BLAINE, MN 55434
(763) 780-5007
Mailing address
676 COUNTY HWY 10, BLAINE, MN 55434
(763) 780-5007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1002637-15
WI
122300000X
Dentist
Primary
D14591
MN
122300000X
Dentist
DN122462
GA
Other
Enumeration date
07/13/2021
Last updated
05/03/2026
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