Organization
TODAY'S DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONAVENTURE NWOKOCHA DDS (CEO)
(763) 710-9937
Entity
Organization
Contact information
Practice address
7960 BROOKLYN BLVD, BROOKLYN PARK, MN 55445-2722
(763) 710-9937
Mailing address
7960 BROOKLYN BLVD, BROOKLYN PARK, MN 55445-2722
(763) 710-9937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12960
MN
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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