West St Paul Family Dentisty Pllc | |
250 Wentworth Ave E West St Paul MN 55118-3507 | |
(651) 455-1577 | |
Not Available |
Full Name | West St Paul Family Dentisty Pllc |
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Speciality | Dentist |
Location | 250 Wentworth Ave E, West St Paul, Minnesota |
Authorized Official Name and Position | Phillip Zhan (PARTNER) |
Authorized Official Contact | 9524327145 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West St Paul Family Dentisty Pllc 250 Wentworth Ave E West St Paul MN 55118-3507 Ph: () - | West St Paul Family Dentisty Pllc 250 Wentworth Ave E West St Paul MN 55118-3507 Ph: (651) 455-1577 |
NPI Number | 1043654411 |
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Provider Enumeration Date | 04/29/2013 |
Last Update Date | 04/29/2013 |
Identifier | Type | State | Issuer |
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1043654411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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