Provider First Line Business Practice Location Address:
2500 COMO AVE
Provider Second Line Business Practice Location Address:
HEALTHPARTNERS COMO DENTAL SPECIALTY CLINIC
Provider Business Practice Location Address City Name:
SAINT PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55108-1460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-896-1111
Provider Business Practice Location Address Fax Number:
952-253-9271
Provider Enumeration Date:
04/27/2006