ASSOCIATED DENTISTS SHOLOM HOME NPI 1013153352

NPI Information

ASSOCIATED DENTISTS SHOLOM HOME is a general practice dentist in Saint Paul, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ASSOCIATED DENTISTS SHOLOM HOME NPI is 1013153352. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1371 7TH ST W
SUITE B
SAINT PAUL, MN
ZIP 55102-205
Phone: (651) 488-5557
Fax: (651) 488-0014

The provider's authorized official is Angie Loft .
The authorized official title is Site Manager and has the following contact phone number (651) 488-5557.

The enumeration date for this NPI number is 12/16/2008 and was last updated on 12/16/2008.

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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