Mn Community Care- Downtown Clinic Dental | |
424 Dorothy Day Place Saint Paul MN 55102-1025 | |
(651) 793-2219 | |
Not Available |
Full Name | Mn Community Care- Downtown Clinic Dental |
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Speciality | Clinic/center - Dental |
Location | 424 Dorothy Day Place, Saint Paul, Minnesota |
Authorized Official Name and Position | Blake Darsow (CFO) |
Authorized Official Contact | 6516027537 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mn Community Care- Downtown Clinic Dental 380 E Lafayette Frontage Road St Paul MN 55107-1200 Ph: (651) 602-7552 | Mn Community Care- Downtown Clinic Dental 424 Dorothy Day Place Saint Paul MN 55102-1025 Ph: (651) 793-2219 |
NPI Number | 1144860685 |
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Provider Enumeration Date | 01/13/2020 |
Last Update Date | 01/13/2020 |
Identifier | Type | State | Issuer |
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1144860685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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