West St Paul Family Dentisty Pllc
NPI #1043654411 in West St Paul, Minnesota
Provider Information
- NPI Number
- 1043654411
- Entity Type
- Organization
- Organization Name
- West St Paul Family Dentisty Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 29, 2013
- Last Updated
- Apr 29, 2013
Practice Location
- Address
- 250 WENTWORTH AVE E
- City
- West St Paul
- State
- Minnesota
- ZIP Code
- 55118-3507
- Phone
- (651) 455-1577
Authorized Official
- Name
- PHILLIP ZHAN
- Title
- PARTNER
- Phone
- (952) 432-7145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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