Organization
ST PAUL DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO KURTZ (OFFICE MANAGER)
(651) 227-6646
Entity
Organization
Contact information
Practice address
30 7TH ST E, SUITE 101, SAINT PAUL, MN 55101-4914
(651) 227-6646
(651) 227-6523
Mailing address
30 7TH ST E, SUITE 101, SAINT PAUL, MN 55101-4914
(651) 227-6646
(651) 227-6523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2008
Last updated
05/03/2008
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