Tracy M. St. Dennis, D.d.s., Pllc
NPI #1508318247 in Vadnais Heights, Minnesota
Provider Information
- NPI Number
- 1508318247
- Entity Type
- Organization
- Organization Name
- Tracy M. St. Dennis, D.d.s., Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 28, 2016
- Last Updated
- Oct 28, 2016
Practice Location
- Address
- 3475 WILLOW LAKE BLVD
- Address 2
- SUITE 100
- City
- Vadnais Heights
- State
- Minnesota
- ZIP Code
- 55110-5156
- Phone
- (651) 341-2106
Authorized Official
- Name
- MARK ST DENNIS
- Title
- GENERAL MANAGER
- Phone
- (651) 341-2106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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