Organization
MIDTLING ORAL & MAXILLOFACIAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES I MIDTLING D.D.S. (OWNER)
(651) 222-6396
Entity
Organization
Contact information
Practice address
155 WABASHA ST S, SUITE 111, SAINT PAUL, MN 55107-1801
(651) 222-6396
(651) 215-3189
Mailing address
155 WABASHA ST S, SUITE 111, SAINT PAUL, MN 55107-1801
(651) 222-6396
(651) 215-3189
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
10555
MN
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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