Austin Family Dental Ltd

NPI #1104916527 in St Paul, Minnesota

Provider Information

NPI Number: 1104916527
Entity Type: Organization
Organization Name: Austin Family Dental Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1360 ENERGY PARK DR
Address 2: #104
City: St Paul
State: Minnesota
ZIP Code: 55108-5252
Phone: (651) 641-1908

Authorized Official

Name: DR. LOUIS THOMAS AUSTIN, DDS
Title: PRESIDENT DENTIST
Phone: (651) 641-1908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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