Search › Minnesota › 1223G0001X
Edgar Mantilla, DDS
NPI 1538177944 · on the registry since 2006
Practice
- Address
- 2001 Bloomington Ave S
Minneapolis, MN 55404 - Phone
- (612) 301-3433
- Fax
- (612) 627-4205
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota