St. Croix Valley Dental

NPI #1184878431 in Hugo, Minnesota

Provider Information

NPI Number: 1184878431
Entity Type: Organization
Organization Name: St. Croix Valley Dental
Primary Specialty: Dentist
Enumeration Date: Nov 13, 2008
Last Updated: Nov 13, 2008

Practice Location

Address: 14643 MERCANTILE DR N
Address 2: SUITE 113
City: Hugo
State: Minnesota
ZIP Code: 55038-4552
Phone: (651) 407-0999

Authorized Official

Name: KELLY J LEMIRE
Title: MANAGER
Phone: (651) 439-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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