Individual
DR. CODRUTA IULIANA FOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
205 PLEASANT AVE S, PARK RAPIDS, MN 56470-1434
(218) 732-4436
Mailing address
1120 TIMBERS DR, PARK RAPIDS, MN 56470-1759
(952) 807-7176
(952) 486-8131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12031
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA#458948300
MINNESOTA MEDICAL ASSIST.
MN
Enumeration date
12/05/2006
Last updated
07/08/2007
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