Foundations Psa LLC

NPI #1275318628 in Chaska, Minnesota

Provider Information

NPI Number
1275318628
Entity Type
Organization
Organization Name
Foundations Psa LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 25, 2023
Last Updated
Sep 26, 2023

Practice Location

Address
126 PIONEER TRL
City
Chaska
ZIP Code
55318-1167
Phone
(952) 472-7738

Authorized Official

Name
DR. STEPHANIE MINER, DDS
Title
OWNER
Phone
(952) 955-4300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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