Organization
FRED W CARPENTER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED WILLIAM CARPENTER DDS (ORTHODONTIST)
(651) 771-7719
Entity
Organization
Contact information
Practice address
1514 WHITE BEAR AVE, ST PAUL, MN 55106-1695
(651) 771-7719
(651) 774-3712
Mailing address
1514 WHITE BEAR AVE, ST PAUL, MN 55106-1695
(651) 771-7719
(651) 774-3712
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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