Organization
NEIL C BONSTROM DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL C BONSTROM DDS (PRESIDENT)
(952) 920-0863
Entity
Organization
Contact information
Practice address
6550 YORK AVE S, STE 302, EDINA, MN 55435
(952) 920-0863
(952) 922-8314
Mailing address
6550 YORK AVE S, STE 302, EDINA, MN 55435
(952) 920-0863
(952) 922-8314
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8226
MN
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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