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Organization

ENDODONTIC PROFESSIONALS PA ST CLOUD ENDODONTICS

Active
Parent organization
ENDODONTIC PROFESSIONALS PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
ENDODONTIC PROFESSIONALS PA
Authorized official
THOMAS A KARN DMD (VICE PRESIDENT)
(320) 259-5078
Entity
Organization

Contact information

Practice address
1555 NORTHWAY DRIVE, SUITE 210, ST CLOUD, MN 56303
(320) 259-5078
(320) 259-1484
Mailing address
1555 NORTHWAY DRIVE, SUITE 210, ST CLOUD, MN 56303
(320) 259-5078
(320) 259-1484

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
8575456
MN

Other

Enumeration date
08/21/2007
Last updated
08/21/2007
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