Edgar Mantilla, DDS is a general practice dentist in Minneapolis, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Edgar Mantilla, DDS NPI is 1538177944. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2001 BLOOMINGTON AVE S
MINNEAPOLIS, MN
ZIP 55404-074
Phone: (612) 301-3433
Fax: (612) 627-4205
The NPI 1538177944 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 8/3/2006 and was last updated on 10/24/2014.