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
- City
- Saint Paul
- State
- Minnesota
- 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 Practice — General Practice |
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