Skyway Dental Of St. Paul | |
405 Sibley St Suite 240 Saint Paul MN 55101-2975 | |
(651) 224-9300 | |
(651) 224-3226 |
Full Name | Skyway Dental Of St. Paul |
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Speciality | Clinic/center - Dental |
Location | 405 Sibley St, Saint Paul, Minnesota |
Authorized Official Name and Position | Carly C Lawson (OWNER) |
Authorized Official Contact | 6512249300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Skyway Dental Of St. Paul 405 Sibley St Suite 240 Saint Paul MN 55101-2975 Ph: (651) 224-9300 | Skyway Dental Of St. Paul 405 Sibley St Suite 240 Saint Paul MN 55101-2975 Ph: (651) 224-9300 |
NPI Number | 1548677420 |
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Provider Enumeration Date | 07/12/2014 |
Last Update Date | 07/12/2014 |
Identifier | Type | State | Issuer |
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1548677420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D12267 (Minnesota) | Primary |
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