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Individual

ERIC LEO SCHIFFMAN

Active
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Individual

ERIC LEO SCHIFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D9513
MN
1223X2210X
Orofacial Pain Dentistry
Primary
D9513
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37604
PREFERRED ONE
MN
01
3D805SC
BLUE CROSS
MN
01
43-41030
MEDICA
MN
05
805320100
MN
Enumeration date
11/20/2006
Last updated
10/02/2019
Update your record

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