Organization
MENON PERIODONTICS AND IMPLANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEMA V MENON BDS, MS (PERIODONTIST)
(651) 646-1318
Entity
Organization
Contact information
Practice address
1880 LIVINGSTON AVE, SUITE # 101, WEST SAINT PAUL, MN 55118-3425
(651) 646-1318
Mailing address
1880 LIVINGSTON AVE, SUITE # 101, WEST SAINT PAUL, MN 55118-3425
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
S30
MN
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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