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MR. ERIC ISAIAS COLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDH

Contact information

Practice address
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2151
(507) 380-8440
Mailing address
1681 THOMAS AVE, SAINT PAUL, MN 55104-2266
(507) 380-8440

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H11188
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H11188
MN
Enumeration date
10/01/2021
Last updated
10/01/2021
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