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Individual

DR. TENZIN DADUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.D.S., MDS

Contact information

Practice address
5921 BENJAMIN ST NE, FRIDLEY, MN 55432-5855
(612) 707-5104
Mailing address
5921 BENJAMIN ST NE, FRIDLEY, MN 55432-5855
(612) 707-5104

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
FL47
MN
1223X0008X
Oral and Maxillofacial Radiology Dentistry
FL47
MN

Other

Enumeration date
10/31/2014
Last updated
10/31/2014
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