NPI 1205000619

Bryan D. Sween, DDS

Organisation Preferred Provider Organization Coon Rapids, MN

Practice location

Address: 1557 Coon Rapids Blvd NW, Coon Rapids, MN 55433-4799
Phone: (763) 757-3430

Authorised official

Name: Bryan Daniel Sween
Title: Owner
Phone: (763) 757-3430

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 10941 (MN)

Other Preferred Provider Organization providers in Minnesota →

Registry record

NPI: 1205000619
Entity type: Organization
NPI issued: 16 Apr 2008
Record last updated: 16 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.