MARK IVAN MALTERUD

SAINT PAUL, MN
NPI1679691273
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  9454)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
-- MARK IVAN MALTERUD D.D.S.,M.A.G.D.
770 MOUNT CURVE BLVD
SAINT PAUL, MN 55116-1165
Phone number: 651-699-2822
Mailing Address
-- MARK IVAN MALTERUD D.D.S.,M.A.G.D.
770 MOUNT CURVE BLVD.
ST. PAUL, MN 55116-1120
Phone number: 651-699-2822
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