Organization
ARCADE DENTAL ASSOCIATES PLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KAY ALBERTSON DDS (PARTNER)
(651) 776-4766
Entity
Organization
Contact information
Practice address
1439 ARCADE STREET, ST PAUL, MN 55106
(651) 776-4766
(651) 776-6622
Mailing address
1439 ARCADE STREET, ST PAUL, MN 55106
(651) 776-4766
(651) 776-6622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1055487
STATE OF MINNESOTA TAX ID
MN
Enumeration date
12/13/2006
Last updated
07/12/2007
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