MINNESOTA CRANIOFACIAL CENTER P.C. is a clinic center in Saint Paul, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MINNESOTA CRANIOFACIAL CENTER P.C. NPI is 1104160480. The provider is registered as an organization entity type.
The provider's business location address is:
2550 UNIVERSITY AVE W
SUITE 143N
SAINT PAUL, MN
ZIP 55114-052
Phone: (651) 642-1013
Fax: (651) 642-0947
The provider's authorized official is Kim Marie Ledermann .
The authorized official title is Dentist/owner and has the following contact phone number (651) 642-1013.
The enumeration date for this NPI number is 11/26/2012 and was last updated on 6/11/2015.