| Mark I. Malterud, D.d.s., P.a. | |
|
770 Mount Curve Blvd Saint Paul MN 55116-1165 | |
| (651) 699-2822 | |
| (651) 699-3009 |
| Full Name | Mark I. Malterud, D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 770 Mount Curve Blvd, Saint Paul, Minnesota |
| Authorized Official Name and Position | Mark Ivan Malterud (OWNER) |
| Authorized Official Contact | 6516992822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark I. Malterud, D.d.s., P.a. 770 Mount Curve Blvd Saint Paul MN 55116-1165 Ph: (651) 699-2822 | Mark I. Malterud, D.d.s., P.a. 770 Mount Curve Blvd Saint Paul MN 55116-1165 Ph: (651) 699-2822 |
| NPI Number | 1841317732 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841317732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9454 (Minnesota) | Primary |
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