Institute of Facial Surgery St Paul
NPI #1689723686 in Maplewood, Minnesota
Provider Information
- NPI Number
- 1689723686
- Entity Type
- Organization
- Organization Name
- Institute of Facial Surgery St Paul
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. JERRY KENT BRUNSOMAN, D.D.S., M.S.
- Title
- PRESIDENT
- Phone
- (651) 774-9611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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