MN COMMUNITY CARE- DOWNTOWN CLINIC DENTAL NPI 1144860685

NPI Information

MN COMMUNITY CARE- DOWNTOWN CLINIC DENTAL is a dental clinic center in Saint Paul, MN. MN COMMUNITY CARE- DOWNTOWN CLINIC DENTAL NPI is 1144860685. The provider is registered as an organization entity type.

The provider's business location address is:

424 DOROTHY DAY PLACE
SAINT PAUL, MN
ZIP 55102-025
Phone: (651) 793-2219

The provider's authorized official is Blake Darsow .
The authorized official title is Cfo and has the following contact phone number (651) 602-7537.

The enumeration date for this NPI number is 1/13/2020 and was last updated on 1/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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