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Organization
ST. ANTHONY PARK DENTAL ARTS, P.A.
Active
Organization
ST. ANTHONY PARK DENTAL ARTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HOWARD HARRISON DDS (OWNER)
(651) 646-1123
Entity
Organization
Contact information
Practice address
2282 COMO AVE, SAINT PAUL, MN 55108-1722
(651) 646-1123
Mailing address
2282 COMO AVE, SAINT PAUL, MN 55108-1722
(651) 646-1123
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11121
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093809642
INDIVIDUAL PROVIDER NPI
MN
Enumeration date
04/04/2012
Last updated
04/04/2012
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