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Individual

GENE IRWIN GELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0340
(612) 625-8400
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0340
(612) 625-5430

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7944
MN

Other

Enumeration date
11/09/2006
Last updated
07/08/2007
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