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Organization

PL DENTAL SC

Active
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Organization

PL DENTAL SC

Active
Parent organization
PL DENTAL SC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PL DENTAL SC
Authorized official
PHONG LY DDS (OWNER DOCTOR)
(763) 377-2110
Entity
Organization

Contact information

Practice address
1014 DALE ST N, SAINT PAUL, MN 55117-5603
(678) 588-4533
Mailing address
1014 DALE ST N, SAINT PAUL, MN 55117-5603

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/29/2025
Last updated
10/29/2025
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