Institute of Facial Surgery St Paul, PLLC
Institute of Facial Surgery St Paul, PLLC is a Dental Clinic/Center in Maplewood, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.
- Licensed in
- MN
- In the registry since
- 2010
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1774 Cope Ave E Ste 140Maplewood, MN 55109-2662
Phone: (651) 774-9611
Fax: (651) 748-3704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence D6950 (MN) |
|---|
Record details
| NPI number | 1477871457 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Brunsoman — President · (651) 774-9611 |
| NPI enumerated | May 14, 2010 |
| Last updated in NPPES | April 21, 2011 |
| Mailing address | 1774 Cope Ave E, Suite 140, Maplewood, MN 55109-2662 |
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