Lifelong Dental Care
NPI #1689286015 in West St Paul, Minnesota
Provider Information
- NPI Number
- 1689286015
- Entity Type
- Organization
- Organization Name
- Lifelong Dental Care
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 18, 2020
- Last Updated
- Aug 18, 2020
Practice Location
- Address
- 1525 LIVINGSTON AVE STE B
- City
- West St Paul
- State
- Minnesota
- ZIP Code
- 55118-3430
- Phone
- (651) 457-4888
Authorized Official
- Name
- DENYCE JONES
- Title
- OFFICE MANAGER
- Phone
- (651) 319-3546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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