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1104160480
MINNESOTA CRANIOFACIAL CENTER P.C.
SAINT PAUL, MN
NPI
1104160480
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Entity Type
Organization
Authorized Contact
KIM MARIE LEDERMANN
Dentist/Owner
651-642-1013
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: MN 11715)
Enumeration Date
2012-11-26
Last Update Date
2015-06-11
Business Address
MINNESOTA CRANIOFACIAL CENTER P.C.
2550 UNIVERSITY AVE W SUITE 143N
SAINT PAUL, MN 55114-1052
Phone number: 651-642-1013
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Mailing Address
MINNESOTA CRANIOFACIAL CENTER P.C.
2550 UNIVERSITY AVE W SUITE 143N
SAINT PAUL, MN 55114-1052
Phone number: 651-642-1013
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