Dr. Stephanie Gruenes Center for Cosmetic Dentistry PA

NPI #1518171081 in Becker, Minnesota

Provider Information

NPI Number: 1518171081
Entity Type: Organization
Organization Name: Dr. Stephanie Gruenes Center for Cosmetic Dentistry PA
Primary Specialty: Dentist
Enumeration Date: May 10, 2007
Last Updated: Mar 11, 2010

Practice Location

Address: 13734 FIRST STREET
City: Becker
State: Minnesota
ZIP Code: 55308
Phone: (763) 262-7645

Authorized Official

Name: DR. STEPHANIE L GRUENES, D.D.S.
Title: CHEIF EXECUTIVE OFFICER
Phone: (763) 262-7645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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