| Endodontic Professionals Pa St Cloud Endodontics | |
|
1555 Northway Drive Suite 210 St Cloud MN 56303 | |
| (320) 259-5078 | |
| (320) 259-1484 |
| Full Name | Endodontic Professionals Pa St Cloud Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1555 Northway Drive, St Cloud, Minnesota |
| Authorized Official Name and Position | Thomas A Karn (VICE PRESIDENT) |
| Authorized Official Contact | 3202595078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Professionals Pa St Cloud Endodontics 1555 Northway Drive Suite 210 St Cloud MN 56303 Ph: (320) 259-5078 | Endodontic Professionals Pa St Cloud Endodontics 1555 Northway Drive Suite 210 St Cloud MN 56303 Ph: (320) 259-5078 |
| NPI Number | 1487847752 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487847752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 8575456 (Minnesota) | Primary |
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