Associated Dentists Sholom Home
NPI #1013153352 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1013153352
- Entity Type
- Organization
- Organization Name
- Associated Dentists Sholom Home
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 16, 2008
- Last Updated
- Dec 16, 2008
Practice Location
- Address
- 1371 7TH ST W
- Address 2
- SUITE B
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55102-4205
- Phone
- (651) 488-5557
Authorized Official
- Name
- ANGIE LOFT
- Title
- SITE MANAGER
- Phone
- (651) 488-5557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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