Community Dental Care Inc

NPI 1003886383 - Dentist - 122300000X

NPI Details
NPI 1003886383
Enumeration Date 01/26/2006
Last Updated 06/25/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name VACHAREE VACHAREE
Position CEO
Phone (651) 774-2959
Fax (651) 774-1997
Practice Location
828 HAWTHORNE AVE E
ST. PAUL MN, 55106, US
Phone (651) 774-2959
Fax (651) 774-1997
Business Location
1670 BEAM AVE
MAPLEWOOD MN, 55109, US
Phone (651) 925-8400
Fax (651) 925-8439
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 460668000
Remove 1003886383 NPI Number
 

According to our database, Community Dental Care Inc NPI is 1003886383, taxonomy code is 122300000X and license number is 460668000, license state is located at Minnesota. Community Dental Care Inc physically located at 828 Hawthorne Ave E, St. Paul MN, 55106. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1003886383 NPI number is provided on an as is basis without warranty of any kind. 1003886383 is maintained by the National Plan & Provider Enumeration System. The contents of Community Dental Care Inc are for informational purposes only.