institution
Institute Of Facial Surgery St Paul, Pllc
Dental Clinic/Center in Maplewood, Minnesota
NPI 1477871457

Institute Of Facial Surgery St Paul, Pllc is a Dental Clinic/Center based in Maplewood, MN and is specialized in Dental. Institute Of Facial Surgery St Paul, Pllc practices in Maplewood, MN. The NPI Number for Institute Of Facial Surgery St Paul, Pllc is 1477871457 and holds a License No. D6950 (Minnesota).

The current practice location address for Institute Of Facial Surgery St Paul, Pllc is 1774 Cope Ave E, Maplewood, MN and can be reached out via phone at 651-774-9611 and via fax at 651-748-3704.

Location: 1774 Cope Ave E, Maplewood, MN, 55109-2662
institution
Provider Profile Details
NPI Number
1477871457
Provider Name
Institute Of Facial Surgery St Paul, Pllc
Credential
Provider Entity Type
Organization
Address
1774 Cope Ave E, Maplewood, MN, 55109-2662
Phone Number
651-774-9611
Fax Number
651-748-3704
Provider Enumeration Date
05/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1774 Cope Ave E
City
State
Zip
55109-2662
Phone Number
651-774-9611
Fax Number
651-748-3704
person
Provider Business Mailing Address Details
Address
1774 Cope Ave E
City
State
Zip
55109-2662
Phone Number
651-774-9611
Fax Number
651-748-3704
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D6950 (Minnesota)
Definition
Definition to come...
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