Organization
MINNESOTA ORAL & MAXILLOFACIAL SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL C TOMPACH DDS (OWNER/PRESIDENT)
(952) 925-2525
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S, SUITE 690, EDINA, MN 55435-2131
(952) 925-2525
(952) 925-2529
Mailing address
6545 FRANCE AVE S, SUITE 690, EDINA, MN 55435-2131
(952) 925-2525
(952) 925-2529
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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