MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1154519338- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1511 NORTHWAY DRIVE SUITE 103, ST. CLOUD, MN, 56303
- Phone
- (320) 240-0927
Specialties & Taxonomies
Dentist
Primary
All Addresses
MAILING
1511 NORTHWAY DRIVE SUITE 103
ST. CLOUD, MN, 56303