Organization
BRUCE K.A. DORMANEN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE K.A. DORMANEN D.D.S. (CEO)
(763) 421-9292
Entity
Organization
Contact information
Practice address
2150 3RD AVE STE 200, ANOKA, MN 55303-2200
(763) 421-9292
(763) 421-7559
Mailing address
2150 3RD AVE STE 200, ANOKA, MN 55303-2200
(763) 421-9292
(763) 421-7559
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8151
MN
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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