Individual
DR. MARJAN JAVANMARDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
683 BIELENBERG DR, SUITE 205, WOODBURY, MN 55125-1705
(651) 200-4747
(651) 998-1009
Mailing address
683 BIELENBERG DR, SUITE 205, WOODBURY, MN 55125-1705
(651) 200-4747
(651) 998-1009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11291
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251840
CIGNA
MN
01
—
45102
UHC
MN
01
—
516659
AETNA
MN
Enumeration date
07/20/2006
Last updated
02/07/2017
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