Organization
DRS CATTON WOLSETH COMO & JACOBSON PA
Active
Other names
Northway Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS H COMO DDS (PRESIDENT)
(320) 253-7700
Entity
Organization
Contact information
Practice address
1500 NORTHWAY DRIVE, ST CLOUD, MN 56303
(320) 253-7700
(320) 253-9271
Mailing address
PO BOX 1659, 1500 NORTHWAY DRIVE, ST CLOUD, MN 56302-1659
(320) 253-7700
(320) 253-9271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10445
MN
122300000X
Dentist
11952
MN
122300000X
Dentist
11953
MN
122300000X
Dentist
Primary
8011
MN
122300000X
Dentist
8837
MN
122300000X
Dentist
9096
MN
122300000X
Dentist
9182
MN
122300000X
Dentist
9874
MN
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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