Individual
MRS. SUSAN JANINE FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
EAST SIDE DENTAL, 895 EAST 7TH STREET, ST PAUL, MN 55106
(651) 702-7500
(651) 602-7518
Mailing address
EAST SIDE DENTAL, 895 EAST 7TH STREET, ST PAUL, MN 55106
(651) 702-7500
(651) 602-7518
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3985
MN
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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