Individual
DR. CANAAN MUSCATELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
802 CENTER AVE W, DILWORTH, MN 56529-1339
(218) 287-2938
Mailing address
1965 CLIFF LAKE RD STE 102, EAGAN, MN 55122
(651) 452-4828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13824
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457888463
—
MN
Enumeration date
05/22/2017
Last updated
11/20/2019
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