Organization
IAU DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOYEE BARWU D.D.S (CEO/ DENTIST)
(763) 439-9506
Entity
Organization
Contact information
Practice address
7643 JOLLY LN, BROOKLYN PARK, MN 55428-1221
(763) 439-9506
Mailing address
7643 JOLLY LN, BROOKLYN PARK, MN 55428-1221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D13595
MN
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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