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Individual

DR. CHARLES ROGER NOLOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
101 LAKE ST WEST, SUITE 200, WAYZATA, MN 55391
(952) 473-9421
(952) 473-9414
Mailing address
101 LAKE ST WEST, SUITE 200, WAYZATA, MN 55391
(952) 473-9421
(952) 473-9414

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7118
MN

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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