Provider Demographics
NPI:1700183126
Name:NAWAR, CLAIRE F (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:F
Last Name:NAWAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8627 HIAWATHA AVE
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-1552
Mailing Address - Country:US
Mailing Address - Phone:612-807-3319
Mailing Address - Fax:
Practice Address - Street 1:8001 HIGHWAY 7
Practice Address - Street 2:SUITE #100
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-3942
Practice Address - Country:US
Practice Address - Phone:952-746-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND128061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice