Mondale, Brian Patrick

Mondale, Brian Patrick is an individual health care provider with primary practice located at 10590 Wayzata Blvd #270, Minnetonka MN 55305-5512. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mondale, Brian Patrick can be contacted via phone (952) 512-8500.

Contact Information

Primary practice address
10590 Wayzata Blvd #270 Minnetonka MN 55305-5512
Phone: (952) 512-8500
Fax: (952) 512-8592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11465 Minnesota

Profile Details

NPI number 1598826182
LBN Legal business name Mondale, Brian Patrick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Dec 16th, 2009 - about 15 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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