Provider Demographics
NPI:1952412124
Name:PALOKANGAS, SARA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:M
Last Name:PALOKANGAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 IVY AVE E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55119-3223
Mailing Address - Country:US
Mailing Address - Phone:612-202-1025
Mailing Address - Fax:
Practice Address - Street 1:6601 LYNDALE AVE S STE 230
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-2479
Practice Address - Country:US
Practice Address - Phone:612-861-9123
Practice Address - Fax:612-861-9155
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12261122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist