Individual
ANDREAS IOANNOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-5166
Mailing address
309 6TH ST SE APT 201, MINNEAPOLIS, MN 55414-1650
(612) 666-5588
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R559
MN
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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