# AFTON ROAD DENTAL ASSOC

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

## Provider details

- **NPI number:** 1518026806
- **Authorized official:** DR. SUSAN C ANDERSON DDS (OWNER)
- **Authorized official phone:** (651) 739-5110

## Contact information

- **Practice address:** 2716 UPPER AFTON ROAD, ST PAUL, MN 55119-4780
- **Practice address phone:** (651) 739-5110
- **Practice address fax:** (651) 739-1873
- **Mailing address:** 2716 UPPER AFTON ROAD, ST PAUL, MN 55119-4780
- **Mailing address phone:** (651) 739-5110
- **Mailing address fax:** (651) 739-1873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 08/22/2020