SEDATION & IMPLANT DENTISTRY

Periodontics

NPI: 1073787669Organization

Specialties, Licenses & Credentials

General Practice Dentistry

Dentist — General Practice

Code: 1223G0001X

D7091(MN)D9766(MN)

PeriodonticsPrimary

Dentist — Periodontics

Code: 1223P0300X

D9208(MN)D12228(MN)

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Contact & Hours

Address: 1815 SUBURBAN AVE
SAINT PAUL, MN 55119
Phone: (651) 735-4661

Quick Facts

NPI: 1073787669
Entity Type: Organization
Medicare: Not confirmed
Specialties: 4
Locations: 1

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