Organization
AMHERST H. WILDER FOUNDATION
Active
Other names
Wilder Senior Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BINGER (VICE PRESIDENT ADMINISTRATION)
(651) 642-4000
Entity
Organization
Contact information
Practice address
516 HUMBOLDT AVE, SAINT PAUL, MN 55107
(651) 220-1807
Mailing address
650 MARSHALL AVE, SAINT PAUL, MN 55104-6644
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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