FAMILY PERIODONTIC SPECIALISTS, PLC

SAINT PAUL, MN
NPI1194474593
Entity TypeOrganization
Authorized ContactCELIA HAYES
Credentialing COO Rdinator
217-540-2100
Organization Subpart ?Yes
Primary Taxonomy1223P0300X Dentist Periodontics
Enumeration Date2022-03-22
Last Update Date2022-03-22
Business Address
FAMILY PERIODONTIC SPECIALISTS, PLC
1375 SAINT ANTHONY AVE
SAINT PAUL, MN 55104-4006
Phone number: 651-645-4671
Mailing Address
FAMILY PERIODONTIC SPECIALISTS, PLC
1375 SAINT ANTHONY AVE
SAINT PAUL, MN 55104-4006
Phone number: 651-645-4671
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