Individual
DR. ANTHONY A. INDOVINA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2130 CLIFF RD, SUITE 100, EAGAN, MN 55122-2485
(651) 452-6933
(651) 905-3061
Mailing address
2130 CLIFF RD, SUITE 100, EAGAN, MN 55122-2485
(651) 452-6933
(651) 905-3061
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D12045
MN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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