| Sun Ray Family Dental | |
|
1871 Old Hudson Rd Saint Paul MN 55119-4308 | |
| (651) 738-0900 | |
| Not Available |
| Full Name | Sun Ray Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1871 Old Hudson Rd, Saint Paul, Minnesota |
| Authorized Official Name and Position | Trent Mitchel Anderson (OWNER/PRESIDENT) |
| Authorized Official Contact | 6513536651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Ray Family Dental 1871 Old Hudson Rd Saint Paul MN 55119-4308 Ph: (651) 738-0900 | Sun Ray Family Dental 1871 Old Hudson Rd Saint Paul MN 55119-4308 Ph: (651) 738-0900 |
| NPI Number | 1265606248 |
|---|---|
| Provider Enumeration Date | 04/21/2008 |
| Last Update Date | 04/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265606248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11423 (Minnesota) | Primary |
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