| Charles E Kath DDS PA | |
|
1021 Bandana Blvd E Suite 100 St Paul MN 55108-5109 | |
| (651) 645-0449 | |
| (651) 647-4951 |
| Full Name | Charles E Kath DDS PA |
|---|---|
| Speciality | Dentist |
| Location | 1021 Bandana Blvd E, St Paul, Minnesota |
| Authorized Official Name and Position | Charles E Kath (DENTIST) |
| Authorized Official Contact | 6516450449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Kath DDS PA 1021 Bandana Blvd E Suite 100 St Paul MN 55108-5109 Ph: (651) 645-0449 | Charles E Kath DDS PA 1021 Bandana Blvd E Suite 100 St Paul MN 55108-5109 Ph: (651) 645-0449 |
| NPI Number | 1619064243 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619064243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6980 (Minnesota) | Primary |
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