East Dental | |
1346 Payne Ave Saint Paul MN 55130-3434 | |
(651) 774-6085 | |
(651) 774-2660 |
Full Name | East Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 1346 Payne Ave, Saint Paul, Minnesota |
Authorized Official Name and Position | Jennifer A Marker Johnson (DDS/PRESIDENT) |
Authorized Official Contact | 6517746085 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
East Dental 1346 Payne Ave Saint Paul MN 55130-3434 Ph: (651) 774-6085 | East Dental 1346 Payne Ave Saint Paul MN 55130-3434 Ph: (651) 774-6085 |
NPI Number | 1114360492 |
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Provider Enumeration Date | 04/16/2013 |
Last Update Date | 02/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114360492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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