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Matt Anzelc Valid NPI

Individual provider · Dentist · Hibbing, MN

NPI
1013281377
Type
Individual (Type 1)
Primary specialty
Dentist
Specialty group
Dental Providers
Taxonomy code
122300000X
License number
8045 (MN)
Sex
Male
Sole proprietor
No
Enumerated
2012-03-05
Last updated
2012-03-05
Practice location
3145 7th Ave E
Hibbing, MN 55746-2625
(218) 263-8929

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