North St. Paul Dental
NPI #1497991798 in North St Paul, Minnesota
Provider Information
- NPI Number
- 1497991798
- Entity Type
- Organization
- Organization Name
- North St. Paul Dental
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MAHTOMEDI DENTAL CLINIC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 17, 2008
- Last Updated
- Dec 17, 2008
Practice Location
- Address
- 2082 11TH AVE E
- City
- North St Paul
- State
- Minnesota
- ZIP Code
- 55109-5112
- Phone
- (651) 770-6260
Authorized Official
- Name
- DR. TIMOTHY A BRAY, DDS
- Title
- OWNER/ DENTIST
- Phone
- (651) 770-6260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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