Northeast Dental, P.a.
NPI #1043435951 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1043435951
- Entity Type
- Organization
- Organization Name
- Northeast Dental, P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4520 CENTERVILLE RD
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55127-3602
- Phone
- (651) 426-4799
Authorized Official
- Name
- DR. ROBERT L KEIFER, D.D.S.
- Title
- PRESIDENT
- Phone
- (651) 426-4799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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