Rejuv Skin & Laser Clinic in Eagan - Oral And Maxillofacial Surgery
Rejuv Skin & Laser Clinic - NPI 1669671152
Rejuv Skin & Laser Clinic is a Oral And Maxillofacial Surgery in Eagan, Minnesota. Rejuv Skin & Laser Clinic practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Rejuv Skin & Laser Clinic is 1669671152. The last update date is 2007-07-13.
Rejuv Skin & Laser Clinic's current location address is 1625 Lena Ct Ste 300, Eagan, Minnesota. You can contact this provider via phone number 6512873080 and fax number 6519053789. The mailing address for Rejuv Skin & Laser Clinic is 1625 Lena Ct Ste 300, Eagan, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rejuv Skin & Laser Clinic |
|---|---|
| Address | 1625 Lena Ct Ste 300, Eagan, Minnesota |
| Phone Number | 6512873080 |
| Fax Number | 6519053789 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Selchow Allen Steven |
| Credentials | DDS |
| Telephone Number | 6512873080 |
NPI Number Detail
| NPI Number | 1669671152 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 1625 Lena Ct Ste 300 |
|---|---|
| City | Eagan |
| State | Minnesota (MN) |
| Post Code | 551222938 |
| Phone Number | 6512873080 |
| Fax Number | 6519053789 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D9967 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identifier code issued to Rejuv Skin & Laser Clinic by the Centers for Medicare & Medicaid Services?
The Rejuv Skin & Laser Clinic has been assigned the NPI (National Provider Identifier) 1669671152 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Rejuv Skin & Laser Clinic?
The Rejuv Skin & Laser Clinic is situated at 1625 Lena Ct Ste 300, in the city of Eagan, state of MN, with the zip code 551222938.
What is the Rejuv Skin & Laser Clinic's specialty and taxonomy code?
The Rejuv Skin & Laser Clinic's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
When was the Rejuv Skin & Laser Clinic's 1669671152 issued?
The Rejuv Skin & Laser Clinic's 1669671152 was issued on 2007-07-13.
As of what date were the Rejuv Skin & Laser Clinic's details last updated?
The information pertaining to the Rejuv Skin & Laser Clinic, including its address, specialty, and other details, was most recently updated on 2007-07-13.