Jagannathan, Shruti
Jagannathan, Shruti is an individual health care provider with primary practice located at 11301 Fountains Dr , Maple Grove MN 55369-7200. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Jagannathan, Shruti can be contacted via phone (763) 762-7177.Contact Information
Primary practice address
11301 Fountains Dr
Maple Grove MN 55369-7200
Phone: (763) 762-7177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D14567 | Minnesota |
Profile Details
| NPI number | 1134795602 |
|---|---|
| LBN Legal business name | Jagannathan, Shruti |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2021 |
| Last updated | Jun 3rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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