Individual
BENJAMIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1150 MONTREAL AVE, SAINT PAUL, MN 55116-2390
(651) 224-0001
Mailing address
1150 MONTREAL AVE, SAINT PAUL, MN 55116-2390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13656
MN
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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