Individual
DR. BRIAN THOMAS CORNELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
348 2ND ST, EXCELSIOR, MN 55331-1830
(952) 474-6411
(952) 474-0747
Mailing address
4237 TONKAWOOD RD, MINNETONKA, MN 55345-2835
(952) 933-5633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8518
MN
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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