Stillwater Modern Dentistry. PC
NPI #1629774138 in Oak Park Heights, Minnesota
Provider Information
- NPI Number
- 1629774138
- Entity Type
- Organization
- Organization Name
- Stillwater Modern Dentistry. PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 6, 2023
- Last Updated
- Feb 6, 2023
Practice Location
- Address
- 13331 60TH ST N
- City
- Oak Park Heights
- State
- Minnesota
- ZIP Code
- 55082-1287
- Phone
- (651) 352-4629
Authorized Official
- Name
- KRISTA JEAN KOEHLER
- Title
- OWNER
- Phone
- (651) 352-4629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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