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Organization
ST. PAUL PEDIATRIC DENTISTRY, PC
Active
Organization
ST. PAUL PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE C HAMAN DDS (PRESIDENT)
(651) 774-0311
Entity
Organization
Contact information
Practice address
1514 WHITE BEAR AVE N, SAINT PAUL, MN 55106-1624
(651) 774-0311
Mailing address
1514 WHITE BEAR AVE N, SAINT PAUL, MN 55106-1624
(651) 774-0311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
S37
MN
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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