Individual
PETER J STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1050 LARPENTEUR AVE W, SAINT PAUL, MN 55113-6556
(651) 488-5522
(651) 488-0944
Mailing address
1050 W. LARPENTEUR, ST. PAUL, MN 55113
(651) 488-5522
(651) 488-0944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10691
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7B149ST
BCBS
MN
Enumeration date
07/27/2006
Last updated
07/09/2007
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