Luna Land Dental Corp. | |
1399 Robert St S West St Paul MN 55118-3141 | |
(651) 300-1230 | |
(651) 300-1230 |
Full Name | Luna Land Dental Corp. |
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Speciality | Clinic/center - Dental |
Location | 1399 Robert St S, West St Paul, Minnesota |
Authorized Official Name and Position | Matthew Park (CFO) |
Authorized Official Contact | 6514449644 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Luna Land Dental Corp. 1399 Robert St S West St Paul MN 55118-3141 Ph: (651) 300-1230 | Luna Land Dental Corp. 1399 Robert St S West St Paul MN 55118-3141 Ph: (651) 300-1230 |
NPI Number | 1598523771 |
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Provider Enumeration Date | 03/12/2024 |
Last Update Date | 03/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598523771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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