Individual
GREGORY C PAPPENFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1545 NORTHWAY DRIVE, SUITE 150, ST CLOUD, MN 56303
(320) 252-1300
(320) 252-0275
Mailing address
1545 NORTHWAY DRIVE, SUITE 150, ST CLOUD, MN 56303
(320) 252-1300
(320) 252-0275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6587
MN
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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