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Individual

DR. NICOLETA TEREZIA AGRIGOROAE BOLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4243 4TH AVE S, MINNEAPOLIS, MN 55409-2113
(612) 822-9030
Mailing address
17094 72ND PL N, MAPLE GROVE, MN 55311-4558
(763) 898-3608

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8563
NC

Other

Enumeration date
05/30/2008
Last updated
03/04/2009
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