Northeast Dental, P.a.

NPI 1043435951 - Dentist - 1223G0001X

NPI Details
NPI 1043435951
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT L ROBERT
Position PRESIDENT
Phone (651) 426-4799
Fax (651) 426-8106
Practice Location
4520 CENTERVILLE RD
SAINT PAUL MN, 55127-3602, US
Phone (651) 426-4799
Fax (651) 426-8106
Business Location
4520 CENTERVILLE RD
SAINT PAUL MN, 55127-3602, US
Phone (651) 426-4799
Fax (651) 426-8106
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 7820
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According to our database, Northeast Dental, P.a. NPI is 1043435951, taxonomy code is 1223G0001X and license number is 7820, license state is located at Minnesota. Northeast Dental, P.a. physically located at 4520 Centerville Rd, Saint Paul MN, 55127-3602. NPI Number 1033115704 has the healthcare provider type.

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1043435951 NPI number is provided on an as is basis without warranty of any kind. 1043435951 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Dental, P.a. are for informational purposes only.