Organization · Type 2 NPI

Tracy M. St. Dennis, D.d.s., PLLC

Dental Clinic/Center · Vadnais Heights, MN

NPI number 1508318247 Active

Practice location

3475 Willow Lake Blvd, Suite 100
Vadnais Heights, MN 55110-5156

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1508318247

Tracy M. St. Dennis, D.d.s., PLLC's National Provider Identifier is 1508318247, issued on Oct 28, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Vadnais Heights, MN. The record was last updated on Oct 28, 2016.