West St Paul Family Dentisty Pllc

NPI 1043654411 - Dentist - 122300000X

NPI Details
NPI 1043654411
Enumeration Date 04/29/2013
Last Updated 04/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PHILLIP PHILLIP
Position PARTNER
Phone (651) 455-1577
Fax
Practice Location
250 WENTWORTH AVE E
WEST ST PAUL MN, 55118-3507, US
Phone (651) 455-1577
Fax
Business Location
250 WENTWORTH AVE E
WEST ST PAUL MN, 55118-3507, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, West St Paul Family Dentisty Pllc NPI is 1043654411, taxonomy code is 122300000X West St Paul Family Dentisty Pllc physically located at 250 Wentworth Ave E, West St Paul MN, 55118-3507. NPI Number 1033115704 has the healthcare provider type.

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1043654411 NPI number is provided on an as is basis without warranty of any kind. 1043654411 is maintained by the National Plan & Provider Enumeration System. The contents of West St Paul Family Dentisty Pllc are for informational purposes only.