Organization
FIFTH AVENUE DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R. DONLIN D.D.S. (PRESIDENT)
(763) 421-5320
Entity
Organization
Contact information
Practice address
1829 5TH AVE, ANOKA, MN 55303-2566
(763) 421-5320
(763) 421-2677
Mailing address
1829 5TH AVE, ANOKA, MN 55303-2566
(763) 421-5320
(763) 421-2677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4910
MN
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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