Organization
WEST ST PAUL FAMILY DENTISTY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP ZHAN (PARTNER)
(952) 432-7145
Entity
Organization
Contact information
Practice address
250 WENTWORTH AVE E, WEST ST PAUL, MN 55118-3507
(651) 455-1577
Mailing address
250 WENTWORTH AVE E, WEST ST PAUL, MN 55118-3507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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