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Organization

TUPALO, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHERINE CAROLINE KOTTAS D.D.S. (DENTIST)
(651) 224-1192
Entity
Organization

Contact information

Practice address
332 MINNESOTA ST, SUITE E 720, SAINT PAUL, MN 55101-1314
(651) 224-1192
Mailing address
332 MINNESOTA ST, SUITE E 720, SAINT PAUL, MN 55101-1314
(651) 224-1192

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11602
MN

Other

Enumeration date
10/29/2015
Last updated
10/29/2015
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