| Afton Road Dental Assoc | |
|
2716 Upper Afton Road St Paul MN 55119-4780 | |
| (651) 739-5110 | |
| (651) 739-1873 |
| Full Name | Afton Road Dental Assoc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2716 Upper Afton Road, St Paul, Minnesota |
| Authorized Official Name and Position | Susan C Anderson (OWNER) |
| Authorized Official Contact | 6517395110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Afton Road Dental Assoc 2716 Upper Afton Road St Paul MN 55119-4780 Ph: (651) 739-5110 | Afton Road Dental Assoc 2716 Upper Afton Road St Paul MN 55119-4780 Ph: (651) 739-5110 |
| NPI Number | 1518026806 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518026806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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