Organization
ST. ANTHONY PARK DENTAL ARTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HOWARD HARRISON DDS (OWNER)
(651) 646-1123
Entity
Organization
Contact information
Practice address
2282 COMO AVE, SAINT PAUL, MN 55108-1722
(651) 646-1123
Mailing address
2282 COMO AVE, SAINT PAUL, MN 55108-1722
(651) 646-1123
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11121
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093809642
INDIVIDUAL PROVIDER NPI
MN
Enumeration date
04/04/2012
Last updated
04/04/2012
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