Organization
JEROME DULAC DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME DULAC DDS (DENTIST)
(952) 925-2176
Entity
Organization
Contact information
Practice address
6550 YORK AVE S, #202, EDINA, MN 55435-2347
(952) 925-2176
Mailing address
6550 YORK AVE S, #202, EDINA, MN 55435-2347
(952) 925-2176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6205
MN
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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