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Organization

GREGORY C PAPPENFUS DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY C PAPPENFUS DDS PA (DENTIST OWNER)
(320) 252-1300
Entity
Organization

Contact information

Practice address
1545 NORTHWAY DRIVE SUITE 150, ST CLOUD, MN 56303
(320) 252-1300
(320) 252-0275
Mailing address
1545 NORTHWAY DRIVE SUITE 150, ST CLOUD, MN 56303

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6587
MN

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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