Organization
AUSTIN FAMILY DENTAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS THOMAS AUSTIN DDS (PRESIDENT DENTIST)
(651) 641-1908
Entity
Organization
Contact information
Practice address
1360 ENERGY PARK DR, #104, ST PAUL, MN 55108-5252
(651) 641-1908
(651) 641-1907
Mailing address
1360 ENERGY PARK DR, #104, ST PAUL, MN 55108-5252
(651) 641-1908
(651) 641-1907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D09811
MN
Other
Enumeration date
10/14/2006
Last updated
08/22/2020
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