| Menon Periodontics And Implants, Llc | |
|
1880 Livingston Ave Suite # 101 West Saint Paul MN 55118-3425 | |
| (651) 646-1318 | |
| Not Available |
| Full Name | Menon Periodontics And Implants, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1880 Livingston Ave, West Saint Paul, Minnesota |
| Authorized Official Name and Position | Hema V Menon (PERIODONTIST) |
| Authorized Official Contact | 6516461318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Menon Periodontics And Implants, Llc 1880 Livingston Ave Suite # 101 West Saint Paul MN 55118-3425 Ph: () - | Menon Periodontics And Implants, Llc 1880 Livingston Ave Suite # 101 West Saint Paul MN 55118-3425 Ph: (651) 646-1318 |
| NPI Number | 1225425309 |
|---|---|
| Provider Enumeration Date | 04/16/2015 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225425309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | S30 (Minnesota) | Primary |
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