Mendes Family Dentistry | |
550 Snelling Ave S Saint Paul MN 55116-1564 | |
(651) 699-0404 | |
(651) 699-9034 |
Full Name | Mendes Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 550 Snelling Ave S, Saint Paul, Minnesota |
Authorized Official Name and Position | Charles H Mendes (OWNER) |
Authorized Official Contact | 6516990404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mendes Family Dentistry 550 Snelling Ave S Saint Paul MN 55116-1564 Ph: (651) 699-0404 | Mendes Family Dentistry 550 Snelling Ave S Saint Paul MN 55116-1564 Ph: (651) 699-0404 |
NPI Number | 1184899106 |
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Provider Enumeration Date | 04/30/2008 |
Last Update Date | 04/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184899106 | NPI | - | NPPES |
481641200 | Medicaid | MN | |
728815800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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