Organization
ST PAUL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J STANTON DDS (DENTIST)
(651) 488-5522
Entity
Organization
Contact information
Practice address
1050 LARPENTEUR AVE W, SAINT PAUL, MN 55113-6556
(651) 488-5522
(651) 488-0944
Mailing address
1050 LARPENTEUR AVE W, SAINT PAUL, MN 55113-6556
(651) 488-5522
(651) 488-0944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10691
MN
122300000X
Dentist
Primary
8140
MN
122300000X
Dentist
D12450
MN
122300000X
Dentist
D13219
MN
Other
Enumeration date
07/31/2013
Last updated
08/08/2013
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