Individual
DR. BRIAN PATRICK MONDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
10590 WAYZATA BLVD, #270, MINNETONKA, MN 55305-5512
(952) 512-8500
(952) 512-8592
Mailing address
10600 OLD COUNTY RD 15, SUITE 120, PLYMOUTH, MN 55441
(763) 512-8500
(763) 512-8592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11465
MN
Other
Enumeration date
12/13/2006
Last updated
12/16/2009
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