Demers Dental

NPI #1366734295 in East Grand Forks, Minnesota

Provider Information

NPI Number: 1366734295
Entity Type: Organization
Organization Name: Demers Dental
Primary Specialty: Dentist
Enumeration Date: May 11, 2011
Last Updated: May 11, 2011

Practice Location

Address: 706 DEMERS AVE
City: East Grand Forks
State: Minnesota
ZIP Code: 56721-1842
Phone: (218) 773-7474

Authorized Official

Name: DR. PAUL S STADEM, DDS
Title: PRESIDENT/DENTIST
Phone: (218) 773-7474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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