| Stillwater Dentistry Pllc | |
|
1963 Robert St S Ste 100 West St Paul MN 55118-3942 | |
| (651) 321-1007 | |
| Not Available |
| Full Name | Stillwater Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1963 Robert St S Ste 100, West St Paul, Minnesota |
| Authorized Official Name and Position | Hassan Ismail (OWNER) |
| Authorized Official Contact | 6513211007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Dentistry Pllc Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Stillwater Dentistry Pllc 1963 Robert St S Ste 100 West St Paul MN 55118-3942 Ph: (651) 321-1007 |
| NPI Number | 1154830602 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 09/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154830602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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