Organization
THE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOLA XIONG DDS (OWNER, DENTIST)
(612) 444-1949
Entity
Organization
Contact information
Practice address
1932 UNIVERSITY AVE W, ST PAUL, MN 55104
(612) 444-1949
(612) 445-5477
Mailing address
1932 UNIVERSITY AVE W, ST PAUL, MN 55104
(612) 444-1949
(612) 445-5477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
05/12/2025
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