Organization
ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC
Active
Parent organization
ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC
Other names
St. Paul Oral Surgery - Mendota Heights
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
750 MAIN ST STE 200, MENDOTA HEIGHTS, MN 55118-3767
(651) 451-1873
(651) 451-8010
Mailing address
750 MAIN ST STE 200, MENDOTA HEIGHTS, MN 55118-3767
(651) 451-1873
(651) 451-8010
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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