Organization
JOANN C BORAAS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN CHRISTINE BORAAS DDS, MS (CORPORATION PRESIDENT)
(612) 866-4041
Entity
Organization
Contact information
Practice address
6945 PENN AVE S, SUITE 102, RICHFIELD, MN 55423-2081
(612) 866-4041
(612) 866-4042
Mailing address
6945 PENN AVE S, SUITE 102, RICHFIELD, MN 55423-2081
(612) 866-4041
(612) 866-4042
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9654
MN
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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