Organization · Type 2 NPI
Amherst H. Wilder Foundation
Dental Clinic/Center · St. Paul, MN
NPI number
1407914674
Active
Practice location
516 Humboldt Ave
St. Paul, MN 55107
Mailing address
650 Marshall Ave
St. Paul, MN 55104-6644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1407914674
Amherst H. Wilder Foundation's National Provider Identifier is 1407914674, issued on Dec 4, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Paul, MN. The record was last updated on Aug 22, 2020.