| Saint Anthony Park Dental Care Pllc | |
|
2278 Como Ave Saint Paul MN 55108-1794 | |
| (651) 644-3685 | |
| (651) 645-8097 |
| Full Name | Saint Anthony Park Dental Care Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2278 Como Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Nathaniel Cogswell (TREASURER/SECRETARY) |
| Authorized Official Contact | 6516443685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Anthony Park Dental Care Pllc 2278 Como Ave Saint Paul MN 55108-1794 Ph: (651) 644-3685 | Saint Anthony Park Dental Care Pllc 2278 Como Ave Saint Paul MN 55108-1794 Ph: (651) 644-3685 |
| NPI Number | 1073970273 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 01/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073970273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D13398 (Minnesota) | Primary |
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