West 7th Dental
Dentist in Saint Paul, MN. Organization (NPI-2).
NPI number1104550367
StatusActive
Last updated in NPPESJul 13, 2022
Details
- NPI
- 1104550367
- Entity type
- Organization (NPI-2)
- Legal business name
- West 7th Dental
- Organization subpart
- No
- Enumeration date
- Jul 13, 2022
- Certification date
- Jul 7, 2022
- Last updated
- Jul 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
106 Douglas StSaint Paul, MN 55102-2714
Phone 651-377-1926 · Fax 651-377-1925
Mailing address
106 Douglas StSaint Paul, MN 55102-2714
Phone 651-377-1926 · Fax 651-377-1925
Authorized official
Jennifer Iburg
Owner
6513771926
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