Land of Lakes Endodontics PA
NPI #1710108022 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1710108022
- Entity Type
- Organization
- Organization Name
- Land of Lakes Endodontics PA
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- May 2, 2007
- Last Updated
- Feb 16, 2016
Practice Location
- Address
- 2850 CURVE CREST BLVD W STE 115
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6101
- Phone
- (651) 439-8764
Authorized Official
- Name
- DR. MATTHEW M GRAU, DDS
- Title
- OWNER
- Phone
- (651) 439-8764
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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