NPI 1598523771
Luna Land Dental Corp.
Practice location
- Address
- 1399 Robert St S, West St Paul, MN 55118-3141
- Phone
- (651) 300-1230
- Fax
- (651) 300-1230
Authorised official
- Name
- Matthew Park
- Title
- Cfo
- Phone
- (651) 444-9644
Registered specialties
Dental Clinic/Center
Primary
Registry record
- NPI
- 1598523771
- Entity type
- Organization
- NPI issued
- 12 Mar 2024
- Record last updated
- 12 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.