Organization
AFTON ROAD DENTAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN C ANDERSON DDS (OWNER)
(651) 739-5110
Entity
Organization
Contact information
Practice address
2716 UPPER AFTON ROAD, ST PAUL, MN 55119-4780
(651) 739-5110
(651) 739-1873
Mailing address
2716 UPPER AFTON ROAD, ST PAUL, MN 55119-4780
(651) 739-5110
(651) 739-1873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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