| Thomas Hoover Dds Pa | |
|
3401 Wooddale Ave S St Louis Park MN 55416-2340 | |
| (952) 920-9209 | |
| Not Available |
| Full Name | Thomas Hoover Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3401 Wooddale Ave S, St Louis Park, Minnesota |
| Authorized Official Name and Position | Thomas Ellis Hoover (PERIODONTIST) |
| Authorized Official Contact | 9529209209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Hoover Dds Pa 3401 Wooddale Ave S St Louis Park MN 55416-2340 Ph: (952) 920-9209 | Thomas Hoover Dds Pa 3401 Wooddale Ave S St Louis Park MN 55416-2340 Ph: (952) 920-9209 |
| NPI Number | 1528421278 |
|---|---|
| Provider Enumeration Date | 03/31/2016 |
| Last Update Date | 03/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528421278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D11710 (Minnesota) | Primary |
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