Individual
DR. IAN TIMOTHY BLAHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2690 SNELLING AVE N # 250, ROSEVILLE, MN 55113-1700
(651) 633-1834
Mailing address
4831 W 131 1/2 ST, SAVAGE, MN 55378-2507
(612) 910-9477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14267
MN
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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