Organization
THOMAS HOOVER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ELLIS HOOVER DDS (PERIODONTIST)
(952) 920-9209
Entity
Organization
Contact information
Practice address
3401 WOODDALE AVE S, ST LOUIS PARK, MN 55416-2340
(952) 920-9209
Mailing address
3401 WOODDALE AVE S, ST LOUIS PARK, MN 55416-2340
(952) 920-9209
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11710
MN
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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