Organization
CHEROKEE DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DOUGLAS VANDEVELDE D.D.S. (PRESIDENT)
(651) 457-6231
Entity
Organization
Contact information
Practice address
374 ANNAPOLIS ST W, SAINT PAUL, MN 55118-1107
(651) 457-6231
(651) 457-8008
Mailing address
374 ANNAPOLIS ST W, SAINT PAUL, MN 55118-1107
(651) 457-6231
(651) 457-8008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8801
MN
Other
Enumeration date
12/25/2006
Last updated
08/22/2020
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