Individual
DR. CAROL ANN BAHNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11269 JEFFERSON HWY N, CHAMPLIN, MN 55316-3123
(763) 421-5206
(763) 421-8320
Mailing address
4941 BRYANT AVE S, MINNEAPOLIS, MN 55419-5360
(612) 823-0583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10492
MN
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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