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Individual

DR. DAVID ALBERT DESIMONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
12725 43RD ST NE, SUITE 202, SAINT MICHAEL, MN 55376-4900
(763) 497-2367
(763) 497-8171
Mailing address
12725 43RD ST NE, SUITE 202, SAINT MICHAEL, MN 55376-4900
(763) 497-2367
(763) 497-8171

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8424
MN

Other

Enumeration date
10/26/2006
Last updated
07/08/2007
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