| Metro Dentalcare St. Louis Park West 36th Street | |
|
5806 W 36th St Ste A St Louis Park MN 55416-5108 | |
| (952) 929-5292 | |
| (952) 988-5890 |
| Full Name | Metro Dentalcare St. Louis Park West 36th Street |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5806 W 36th St Ste A, St Louis Park, Minnesota |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Dentalcare St. Louis Park West 36th Street 5806 W 36th St Ste A St Louis Park MN 55416-5108 Ph: (952) 929-5292 | Metro Dentalcare St. Louis Park West 36th Street 5806 W 36th St Ste A St Louis Park MN 55416-5108 Ph: (952) 929-5292 |
| NPI Number | 1790435428 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 05/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790435428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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