Organization
SNELLING AVENUE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE M SAICE (OFFICE MANAGER)
(651) 699-5600
Entity
Organization
Contact information
Practice address
604 SNELLING AVE S, SAINT PAUL, MN 55116-1528
(651) 699-5600
(651) 699-1966
Mailing address
604 SNELLING AVE S, SAINT PAUL, MN 55116-1528
(651) 699-5600
(651) 699-1966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7662
MN
Other
Enumeration date
01/17/2008
Last updated
06/26/2008
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