| NPI | 1548677420 |
|---|---|
| Doing Business As | SKYWAY DENTAL OF ST. PAUL |
| Entity Type | Organization |
| Authorized Contact | CARLY C LAWSON Owner 651-224-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D12267) |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2014-07-12 |