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General NPI Number Information
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NPI Number | 1811798317
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTURES & IMPLANTS - ROCHESTER IV, P.C.
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 3434 55TH ST NW STE 100
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City | ROCHESTER
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State | MN
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Zip | 55901-5926
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Country | US
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Telephone | 507-529-9442
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Fax |
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Provider Business Mailing Address
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Address Line | 3434 55TH ST NW STE 100
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City | ROCHESTER
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State | MN
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Zip | 55901-5926
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Country | US
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Telephone | 507-529-9442
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TALYA MINTZ
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Credential | DDS
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Telephone | 507-529-9942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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