Most Relevant Information
Provider Data
| NPI Number: | 1003665134 |
| Provider Name: | ALAN REPAK DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/13/2024 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
1090 SHINGLE CREEK XING
BROOKLYN CENTER
MN
554302684
Practice Location Phone/Fax
| Phone: | 6515837256 |
| Fax: |
Provider Mailing Location
2428 DELAWARE ST SE APT 409
MINNEAPOLIS
MN
554143829
Provider Mailing Phone/Fax
| Phone: | 7013881396 |
| Fax: |