Individual
JON STANLEY FALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15875 EMPEROR AVE, APPLE VALLEY, MN 55124-7860
(651) 463-2300
(651) 463-2118
Mailing address
916 8TH ST, FARMINGTON, MN 55024-1438
(651) 463-2300
(651) 463-2118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8108
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840718500
MEDICAL ASSISTANCE
MN
Enumeration date
12/13/2006
Last updated
01/02/2018
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