Organization
DENTAL ASSOCIATES OF ST. PAUL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SWENSON DDS (OWNER)
(651) 735-0595
Entity
Organization
Contact information
Practice address
1790 7TH ST E, SAINT PAUL, MN 55119-3419
(651) 735-0595
(651) 735-0521
Mailing address
1790 7TH ST E, SAINT PAUL, MN 55119-3419
(651) 735-0595
(651) 735-0521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6639
MN
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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