| Endodontic Professionals, Pa - St. Micheal Endodontics | |
|
750 Central Ave E Suite 202 Saint Michael MN 55376-4552 | |
| (763) 497-0082 | |
| Not Available |
| Full Name | Endodontic Professionals, Pa - St. Micheal Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 750 Central Ave E, Saint Michael, Minnesota |
| Authorized Official Name and Position | Thomas Andrew Karn (VICE PRESIDENT) |
| Authorized Official Contact | 7635590859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Professionals, Pa - St. Micheal Endodontics 750 Central Ave E Suite 202 Saint Michael MN 55376-4552 Ph: (763) 497-0082 | Endodontic Professionals, Pa - St. Micheal Endodontics 750 Central Ave E Suite 202 Saint Michael MN 55376-4552 Ph: (763) 497-0082 |
| NPI Number | 1528237468 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528237468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 1093720 (Minnesota) | Primary |
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