| Associated Dentists Sholom Home | |
|
1371 7th St W Suite B Saint Paul MN 55102-4205 | |
| (651) 488-5557 | |
| (651) 488-0014 |
| Full Name | Associated Dentists Sholom Home |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1371 7th St W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Angie Loft (SITE MANAGER) |
| Authorized Official Contact | 6514885557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Dentists Sholom Home 1371 7th St W Suite B Saint Paul MN 55102-4205 Ph: (651) 488-5557 | Associated Dentists Sholom Home 1371 7th St W Suite B Saint Paul MN 55102-4205 Ph: (651) 488-5557 |
| NPI Number | 1013153352 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 12/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013153352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11152 (Minnesota) | Secondary |
| 1223G0001X | Dentist - General Practice | D11202 (Minnesota) | Primary |
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