Individual
DR. PASE LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS FICOI
Contact information
Practice address
491 UNIVERSITY AVE W, SUITE A, ST PAUL, MN 55103
(651) 489-3681
(651) 489-4452
Mailing address
491 UNIVERSITY AVE W, SUITE A, ST PAUL, MN 55103
(651) 489-3681
(651) 489-4452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10632
MN
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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