Organization
SEDATION AND IMPLANT DENSTISTRY - DR ANDERSON AND DR YANG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARA THAO (OFFICE MANAGER)
(651) 735-4661
Entity
Organization
Contact information
Practice address
1815 SUBURBAN AVE STE 200, SAINT PAUL, MN 55119-4380
(651) 735-4661
(651) 735-4661
Mailing address
1815 SUBURBAN AVE STE 200, SAINT PAUL, MN 55119-4380
(651) 735-4661
(651) 735-4661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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