Organization
FIANT DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GRAHAM DDS (CHIEF MANAGER)
(612) 827-7400
Entity
Organization
Contact information
Practice address
2937 LYNDALE AVE S, MINNEAPOLIS, MN 55408-2171
(612) 827-7400
(612) 823-8252
Mailing address
2937 LYNDALE AVE S, MINNEAPOLIS, MN 55408-2171
(612) 827-7400
(612) 823-8252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9958
MN
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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