Individual
JOSHUA PADOVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3507 ROUND LAKE BLVD NW STE 900, ANOKA, MN 55303-4908
(763) 323-7677
Mailing address
3507 ROUND LAKE BLVD NW STE 900, ANOKA, MN 55303-4908
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D14336
MN
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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