James G Koller Dds,pa
NPI #1174989743 in North St Paul, Minnesota
Provider Information
- NPI Number
- 1174989743
- Entity Type
- Organization
- Organization Name
- James G Koller Dds,pa
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 12, 2016
- Last Updated
- Dec 5, 2019
Practice Location
- Address
- 2601 CENTENNIAL DR STE 102
- City
- North St Paul
- State
- Minnesota
- ZIP Code
- 55109-3087
- Phone
- (651) 777-6454
Authorized Official
- Name
- JAMES G KOLLER, DDS
- Title
- DENTIST
- Phone
- (651) 777-6454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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