Organization
WEST SIDE COMMUNITY HEALTH SERVICE, INC
Active
Other names
Downtown Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN MOORE (CEO)
(651) 602-7500
Entity
Organization
Contact information
Practice address
424 DOROTHY DAY PLACE, SAINT PAUL, MN 55102-1025
(651) 793-2219
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7500
(651) 602-7513
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
05/15/2024
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