Organization
FAMILY ORAL SURGERY SPECIALISTS PLC
Active
Parent organization
FAMILY ORAL SURGERY SPECIALISTS PLC
Other names
Metro Dentalcare St. Paul Midway - Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY ORAL SURGERY SPECIALISTS PLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
1375 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4006
(651) 286-8153
Mailing address
1375 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4006
(651) 286-8153
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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