Inside Edge Dental Pllc

NPI #1114360492 in Saint Paul, Minnesota

Provider Information

NPI Number
1114360492
Entity Type
Organization
Organization Name
Inside Edge Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 16, 2013
Last Updated
Feb 2, 2017

Practice Location

Address
1346 PAYNE AVE
ZIP Code
55130-3434
Phone
(651) 774-6085

Authorized Official

Name
JENNIFER A MARKER JOHNSON, DDS
Title
DDS/PRESIDENT
Phone
(651) 774-6085

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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