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South River Dental Pllc
Dental Clinic/Center in West St Paul, Minnesota
NPI 1154066405

South River Dental Pllc is a Dental Clinic/Center based in West St Paul, MN and is specialized in Dental. South River Dental Pllc practices in West St Paul, MN. The NPI Number for South River Dental Pllc is 1154066405 and holds a License No. (Minnesota).

The current practice location address for South River Dental Pllc is 1545 Livingston Ave Ste 101, West St Paul, MN and can be reached out via phone at 651-455-0505.

Location: 1545 Livingston Ave Ste 101, West St Paul, MN, 55118-3422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154066405
Provider Name
South River Dental Pllc
Credential
Provider Entity Type
Organization
Address
1545 Livingston Ave Ste 101, West St Paul, MN, 55118-3422
Phone Number
651-455-0505
Fax Number
Provider Enumeration Date
05/02/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1545 Livingston Ave Ste 101
City
West St Paul
State
Minnesota
Zip
55118-3422
Phone Number
651-455-0505
Fax Number
person
Provider Business Mailing Address Details
Address
1545 Livingston Ave Ste 101
City
West St Paul
State
Minnesota
Zip
55118-3422
Phone Number
651-455-0505
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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