MINNESOTA CRANIOFACIAL CENTER P.C.

SAINT PAUL, MN
NPI1104160480
Entity TypeOrganization
Authorized ContactKIM MARIE LEDERMANN
Dentist/Owner
651-642-1013
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: MN  11715)
Enumeration Date2012-11-26
Last Update Date2015-06-11
Business Address
MINNESOTA CRANIOFACIAL CENTER P.C.
2550 UNIVERSITY AVE W SUITE 143N
SAINT PAUL, MN 55114-1052
Phone number: 651-642-1013
Mailing Address
MINNESOTA CRANIOFACIAL CENTER P.C.
2550 UNIVERSITY AVE W SUITE 143N
SAINT PAUL, MN 55114-1052
Phone number: 651-642-1013