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1285757864
MINNESOTA CRANIOFACIAL CENTER MIDWAY, P.A.
SAINT PAUL, MN
NPI
1285757864
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Entity Type
Organization
Authorized Contact
ROY VERNON HAKALA
CEO Owner
651-642-1013
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN D8171)
Enumeration Date
2007-04-09
Last Update Date
2013-09-26
Business Address
MINNESOTA CRANIOFACIAL CENTER MIDWAY, P.A.
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 MIDWAY, P.A.
2550 UNIVERSITY AVENUE WEST SUITE 143N
SAINT PAUL, MN 55114-1098
Phone number: 651-642-1013
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