West Side Community Health Service, INC
NPI #1144860685 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1144860685
- Entity Type
- Organization
- Organization Name
- West Side Community Health Service, INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 13, 2020
- Last Updated
- May 15, 2024
Practice Location
- Address
- 424 DOROTHY DAY PLACE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55102-1025
- Phone
- (651) 793-2219
Authorized Official
- Name
- REUBEN MOORE
- Title
- CEO
- Phone
- (651) 602-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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