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Organization

SAINT ANTHONY PARK DENTAL CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHANIEL COGSWELL DDS (TREASURER/SECRETARY)
(651) 644-3685
Entity
Organization

Contact information

Practice address
2278 COMO AVE, SAINT PAUL, MN 55108-1794
(651) 644-3685
(651) 645-8097
Mailing address
2278 COMO AVE, SAINT PAUL, MN 55108-1794
(651) 644-3685
(651) 645-8097

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13398
MN

Other

Enumeration date
01/20/2016
Last updated
01/20/2016
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