St. Croix Valley Dental, Pllc
NPI #1740259464 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1740259464
- Entity Type
- Organization
- Organization Name
- St. Croix Valley Dental, Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 15, 2006
- Last Updated
- Feb 22, 2012
Practice Location
- Address
- 13961 60TH ST. NORTH
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082
- Phone
- (651) 439-2600
Authorized Official
- Name
- DOUGLAS S WOLFF, DDS
- Title
- OWNER
- Phone
- (651) 439-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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