Bluestem Dental, Inc.

NPI #1255828059 in Benson, Minnesota

Provider Information

NPI Number: 1255828059
Entity Type: Organization
Organization Name: Bluestem Dental, Inc.
Primary Specialty: Dentist
Enumeration Date: Apr 17, 2018
Last Updated: Apr 17, 2018

Practice Location

Address: 210 13TH ST S
City: Benson
State: Minnesota
ZIP Code: 56215-1821
Phone: (320) 842-4191

Authorized Official

Name: MS. NANCY MARIE HILLEREN, RDH
Title: SECRETARY - TREASURER
Phone: (320) 444-4033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
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