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Organization

ARENDAL DENTAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAUREEN MARIE BALLINGER DDS (DENTIST)
(651) 204-9353
Entity
Organization

Contact information

Practice address
101 5TH ST E, SUITE 299, SAINT PAUL, MN 55101-1898
(651) 204-9353
(651) 204-1780
Mailing address
101 5TH ST E, SUITE 299, SAINT PAUL, MN 55101-1898
(651) 204-9353
(651) 204-1780

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11303
MN

Other

Enumeration date
02/14/2007
Last updated
10/28/2009
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