Stillwater Dentistry Pllc
NPI #1154830602 in West St Paul, Minnesota
Provider Information
- NPI Number
- 1154830602
- Entity Type
- Organization
- Organization Name
- Stillwater Dentistry Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 28, 2017
- Last Updated
- Sep 28, 2017
Practice Location
- Address
- 1963 ROBERT ST S STE 100
- City
- West St Paul
- State
- Minnesota
- ZIP Code
- 55118-3942
- Phone
- (651) 321-1007
Authorized Official
- Name
- HASSAN ISMAIL
- Title
- OWNER
- Phone
- (651) 321-1007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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