| Brite Dental West St Paul Pc | |
|
1200 Robert St S Suite C West St Paul MN 55118-2308 | |
| (651) 340-9151 | |
| (651) 340-9152 |
| Full Name | Brite Dental West St Paul Pc |
|---|---|
| Speciality | Dentist |
| Location | 1200 Robert St S, West St Paul, Minnesota |
| Authorized Official Name and Position | Fadi M Aqel (OWNER) |
| Authorized Official Contact | 7738840108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brite Dental West St Paul Pc 1200 Robert St S Suite C West St Paul MN 55118-2308 Ph: (651) 340-9151 | Brite Dental West St Paul Pc 1200 Robert St S Suite C West St Paul MN 55118-2308 Ph: (651) 340-9151 |
| NPI Number | 1710321930 |
|---|---|
| Provider Enumeration Date | 04/18/2013 |
| Last Update Date | 04/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710321930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D12501 (Minnesota) | Primary |
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