| Associated Oral And Maxillofacial Surgeons, Pa | |
|
7136 University Ave Ne Fridley MN 55432-3100 | |
| (763) 574-1639 | |
| Not Available |
| Full Name | Associated Oral And Maxillofacial Surgeons, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7136 University Ave Ne, Fridley, Minnesota |
| Authorized Official Name and Position | Paul Francis Stannard (ORAL SURGEON) |
| Authorized Official Contact | 7635741639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Oral And Maxillofacial Surgeons, Pa 7136 University Ave Ne Fridley MN 55432-3100 Ph: (763) 574-1639 | Associated Oral And Maxillofacial Surgeons, Pa 7136 University Ave Ne Fridley MN 55432-3100 Ph: (763) 574-1639 |
| NPI Number | 1457495491 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457495491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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