Organization
PHILIP F FABEL DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP FOREST FABEL (OWNER)
(763) 537-1292
Entity
Organization
Contact information
Practice address
4600 LAKE RD, ROBBINSDALE, MN 55422-1800
(763) 537-1292
(763) 537-1468
Mailing address
4600 LAKE RD, ROBBINSDALE, MN 55422-1800
(763) 537-1292
(763) 537-1468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7299
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558305656
TYPE 1 NPI
MN
Enumeration date
03/07/2008
Last updated
03/07/2008
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