NPI 1932373032

Brooklyn Blvd. Dental

Organisation Health Maintenance Organization Brooklyn Center, MN

Practice location

Address: 5831 Brooklyn Blvd, Brooklyn Center, MN 55429-2521
Phone: (763) 533-8669
Fax: (763) 533-8716

Authorised official

Name: William Sam Kotonias
Title: Dentist/Owner
Phone: (763) 533-8669

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1932373032
Entity type: Organization
NPI issued: 18 Apr 2008
Record last updated: 21 Jul 2022

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.