Chaska Pediatric Dentistry, P.a.

NPI #1063834588 in Chaska, Minnesota

Provider Information

NPI Number
1063834588
Entity Type
Organization
Organization Name
Chaska Pediatric Dentistry, P.a.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 17, 2014
Last Updated
Jan 17, 2014

Practice Location

Address
111 HUNDERTMARK RD
Address 2
SUITE 304N
City
Chaska
ZIP Code
55318-4551
Phone
(952) 475-3135

Authorized Official

Name
TAYLOR STEPHENS, D.D.S
Title
OWNER/PRESIDENT
Phone
(952) 475-3135

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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