Organization
BROOKLYN BLVD. DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SAM KOTONIAS D.D.S. (DENTIST/OWNER)
(763) 533-8669
Entity
Organization
Contact information
Practice address
5831 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-2521
(763) 533-8669
(763) 533-8716
Mailing address
5831 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-2521
(763) 533-8669
(763) 533-8716
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
MN
Other
Enumeration date
04/18/2008
Last updated
07/21/2022
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