Midwest Dental - South St. Paul | |
680 Southview Blvd. South Saint Paul MN 55075 | |
(651) 455-2297 | |
(651) 455-9223 |
Full Name | Midwest Dental - South St. Paul |
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Speciality | Dentist - General Practice |
Location | 680 Southview Blvd., South Saint Paul, Minnesota |
Authorized Official Name and Position | Lori J Pelke (PROFESSIONAL SERVICES) |
Authorized Official Contact | 7159265050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midwest Dental - South St. Paul 680 Southview Blvd. South St. Paul MN 55075 Ph: (651) 455-2297 | Midwest Dental - South St. Paul 680 Southview Blvd. South Saint Paul MN 55075 Ph: (651) 455-2297 |
NPI Number | 1952546160 |
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Provider Enumeration Date | 12/03/2008 |
Last Update Date | 12/03/2008 |
Identifier | Type | State | Issuer |
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1952546160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |