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Individual

DAVID CLAYTON ECKART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
300 1ST AVE E, SHAKOPEE, MN 55379-1444
(952) 445-1352
(952) 445-7221
Mailing address
300 1ST AVE E, SHAKOPEE, MN 55379-1444
(952) 445-1352
(952) 445-7221

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9527
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03905EC
BCBS
MN
01
40-40598
MEDICA
MN
01
9527
DELTA DENTAL
MN
Enumeration date
12/01/2006
Last updated
07/09/2007
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