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Organization
WEST SIDE COMMUNITY HEALTH SERVICE, INC
Active
Organization
WEST SIDE COMMUNITY HEALTH SERVICE, INC
Active
Other names
Downtown Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN MOORE (CEO)
(651) 602-7500
Entity
Organization
Contact information
Practice address
424 DOROTHY DAY PLACE, SAINT PAUL, MN 55102-1025
(651) 793-2219
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7500
(651) 602-7513
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
05/15/2024
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