# MINNESOTA ORAL & MAXILLOFACIAL SURGERY, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427367531
- **Authorized official:** DR. PAUL C TOMPACH DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (952) 925-2525

## Contact information

- **Practice address:** 6545 FRANCE AVE S, SUITE 690, EDINA, MN 55435-2131
- **Practice address phone:** (952) 925-2525
- **Practice address fax:** (952) 925-2529
- **Mailing address:** 6545 FRANCE AVE S, SUITE 690, EDINA, MN 55435-2131
- **Mailing address phone:** (952) 925-2525
- **Mailing address fax:** (952) 925-2529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2010
- **Last updated:** 10/07/2010
