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Organization

VANG DENTAL CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETE VANG (VICE PRESIDENT)
(651) 222-6738
Entity
Organization

Contact information

Practice address
365 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2018
(651) 222-6738
(651) 848-0808
Mailing address
365 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2018
(651) 222-6738
(651) 848-0808

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11210
MN

Other

Enumeration date
11/22/2006
Last updated
08/02/2007
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