NPI | 1396483996 |
---|---|
Doing Business As | DENTISTS OF WEST ST PAUL |
Entity Type | Organization |
Authorized Contact | KATHRYN J THORSON Owner 651-347-1252 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-05-24 |
Last Update Date | 2022-05-24 |