| Dr. Roger C. Stoddard Dds, Pa | |
|
2480 White Bear Ave N Ste 202 Maplewood MN 55109-4567 | |
| (651) 776-1597 | |
| Not Available |
| Full Name | Dr. Roger C. Stoddard Dds, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2480 White Bear Ave N Ste 202, Maplewood, Minnesota |
| Authorized Official Name and Position | Roger Charles Stoddard (DENTIST/OWNER) |
| Authorized Official Contact | 6517761597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Roger C. Stoddard Dds, Pa 2480 White Bear Ave N Ste 202 Maplewood MN 55109-4567 Ph: () - | Dr. Roger C. Stoddard Dds, Pa 2480 White Bear Ave N Ste 202 Maplewood MN 55109-4567 Ph: (651) 776-1597 |
| NPI Number | 1225640865 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225640865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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