Endodontic Professionals PA St Cloud Endodontics

NPI #1487847752 in St Cloud, Minnesota

Provider Information

NPI Number: 1487847752
Entity Type: Organization
Organization Name: Endodontic Professionals PA St Cloud Endodontics
Subpart: Yes (part of a larger organization)
Parent Organization: ENDODONTIC PROFESSIONALS PA
Primary Specialty: Dentist - Endodontics
Enumeration Date: Aug 21, 2007
Last Updated: Aug 21, 2007

Practice Location

Address: 1555 NORTHWAY DRIVE
Address 2: SUITE 210
City: St Cloud
State: Minnesota
ZIP Code: 56303
Phone: (320) 259-5078

Authorized Official

Name: THOMAS A KARN, DMD
Title: VICE PRESIDENT
Phone: (320) 259-5078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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