Organization
CHALET DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT CURTIS FREDRICKSON DDS (PRESIDENT OWNER)
(651) 488-5888
Entity
Organization
Contact information
Practice address
1651 N DALE ST, ST PAUL, MN 55117
(651) 488-5888
(651) 488-8425
Mailing address
1651 N DALE ST, ST PAUL, MN 55117
(651) 488-5888
(651) 488-8425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11125
MN
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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