Organization
ROSEVILLE DENTISTRY
Active
Other names
Tamara Simons & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA SIMONS DDS (OWNER)
(651) 269-7061
Entity
Organization
Contact information
Practice address
1912 LEXINGTON AVE N, SUITE 100, ROSEVILLE, MN 55113-6113
(651) 489-1900
Mailing address
1912 LEXINGTON AVE N, SUITE 100, ROSEVILEE, MN 55113-6105
(651) 489-1900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10509
MN
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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