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Organization
METROPOLITAN STATE UNIVERSITY
Active
Organization
METROPOLITAN STATE UNIVERSITY
Active
Other names
Mertopolitan State University Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYNE CERNOHOUS DDS (DENTAL FACULTY COORDINATOR)
(651) 621-8840
Entity
Organization
Contact information
Practice address
1670 BEAM AVE, #203, MAPLEWOOD, MN 55109-1201
(651) 621-8840
(651) 621-8841
Mailing address
1670 BEAM AVE, #203, MAPLEWOOD, MN 55109-1201
(651) 621-8840
(651) 621-8841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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