Organization
LIFELONG DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENYCE JONES (OFFICE MANAGER)
(651) 319-3546
Entity
Organization
Contact information
Practice address
1525 LIVINGSTON AVE STE B, WEST ST PAUL, MN 55118-3430
(651) 457-4888
Mailing address
1525 LIVINGSTON AVE STE B, WEST ST PAUL, MN 55118-3430
(651) 457-4888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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