Individual
PETER CLAY BACHMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2600 39TH AVE NE STE 225, MINNEAPOLIS, MN 55421-5052
(763) 781-7475
Mailing address
5891 RICE CREEK PKWY UNIT 125, SHOREVIEW, MN 55126-4407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2444
ND
122300000X
Dentist
Primary
D14667
MN
1223G0001X
General Practice Dentistry
2444
ND
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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