Bucca Dental Llc

LBN: Bucca Dental Llc
Bucca Dental Llc is an health care organization with primary practice located at 1508 E Lake St , Minneapolis MN 55407-1720. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Bucca Dental Llc can be contacted via phone (612) 724-1717, or through Mantilla, Edgar Fernando via phone (612) 724-1717.

Contact Information

Primary practice address
1508 E Lake St Minneapolis MN 55407-1720
Phone: (612) 724-1717
Fax: (612) 724-3114
Website:
Map and Directions
Authorized official contact:
Name: Mantilla, Edgar Fernando Doctor of Dental Surgery (DDS)
Phone: (612) 724-1717

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D11889 Minnesota

Profile Details

NPI number 1750774428
LBN Legal business name Bucca Dental Llc
DBA Doing business as
Authorized official Mantilla, Edgar Fernando Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2015
Last updated Mar 5th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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