Individual
DR. FRED WILLIAM CARPENTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1514 WHITE BEAR AVE, ST PAUL, MN 55106-1695
(651) 771-7719
(651) 776-2595
Mailing address
1514 WHITE BEAR AVE, ST PAUL, MN 55106-1695
(651) 771-7719
(651) 776-2595
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8857
MN
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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