Individual
ALEN BLAGAJCEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
606 24TH AVE S STE 200, MINNEAPOLIS, MN 55454-1437
(612) 659-8689
(612) 659-8690
Mailing address
606 24TH AVE S STE 200, MINNEAPOLIS, MN 55454-1437
(612) 659-8689
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
R770
MN
1223G0001X
General Practice Dentistry
Primary
R770
MN
Other
Enumeration date
06/22/2020
Last updated
08/19/2020
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