Saint Anthony Park Dental Care Pllc
NPI #1073970273 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1073970273
- Entity Type
- Organization
- Organization Name
- Saint Anthony Park Dental Care Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 20, 2016
- Last Updated
- Jan 20, 2016
Practice Location
- Address
- 2278 COMO AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55108-1794
- Phone
- (651) 644-3685
Authorized Official
- Name
- DR. NATHANIEL COGSWELL, DDS
- Title
- TREASURER/SECRETARY
- Phone
- (651) 644-3685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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