Organization
SWANA DENTAL DELIVERY
Active
Other names
S-Thetics Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GAURANG BHATT DDS (DENTIST)
(612) 250-8515
Entity
Organization
Contact information
Practice address
6299 UNIVERSITY AVE NE, SUITE100, FRIDLEY, MN 55432-4918
(612) 250-8515
Mailing address
6299 UNIVERSITY AVE NE, SUITE100, FRIDLEY, MN 55432-4918
(612) 250-8515
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D12197
MN
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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