| Snelling Avenue Dental | |
|
604 Snelling Ave S Saint Paul MN 55116-1528 | |
| (651) 699-5600 | |
| (651) 699-1966 |
| Full Name | Snelling Avenue Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 604 Snelling Ave S, Saint Paul, Minnesota |
| Authorized Official Name and Position | Charlene M Saice (OFFICE MANAGER) |
| Authorized Official Contact | 6516995600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snelling Avenue Dental 604 Snelling Ave S Saint Paul MN 55116-1528 Ph: (651) 699-5600 | Snelling Avenue Dental 604 Snelling Ave S Saint Paul MN 55116-1528 Ph: (651) 699-5600 |
| NPI Number | 1245416403 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245416403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7662 (Minnesota) | Primary |
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