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Organization
COMO PARK DENTISTRY PA
Active
Organization
COMO PARK DENTISTRY PA
Active
Other names
Como Park Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DERRIK HARTMAN DDS (PRESIDENT)
(651) 504-8464
Entity
Organization
Contact information
Practice address
1132 LARPENTEUR AVE W, SAINT PAUL, MN 55113-6317
(507) 272-5955
Mailing address
1132 LARPENTEUR AVE W, SAINT PAUL, MN 55113-6317
(651) 504-8464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
09/23/2026
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