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Organization
ROGER E AUSTIN, DDS, PA
Active
Organization
ROGER E AUSTIN, DDS, PA
Active
Other names
Ramsey Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER E AUSTIN D.D.S. (PRESIDENT/OWNER)
(763) 421-2660
Entity
Organization
Contact information
Practice address
15243 NOWTHEN BLVD NW, RAMSEY, MN 55303-6138
(763) 421-2660
(763) 421-2661
Mailing address
15243 NOWTHEN BLVD NW, RAMSEY, MN 55303-6138
(763) 421-2660
(763) 421-2661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07057
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184614117
NPI ENUMERATOR FOR ROGER
—
Enumeration date
08/05/2007
Last updated
08/05/2007
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