St. Croix Endodontics

NPI #1790389005 in Blaine, Minnesota

Provider Information

NPI Number: 1790389005
Entity Type: Organization
Organization Name: St. Croix Endodontics
Primary Specialty: Dentist - Endodontics
Enumeration Date: Nov 27, 2020
Last Updated: Nov 30, 2020

Practice Location

Address: 11855 ULYSSES ST NE STE 260
City: Blaine
State: Minnesota
ZIP Code: 55434-4182
Phone: (763) 767-9119

Authorized Official

Name: KATIE KLEIN
Title: BUSSINESS OFFICE MANAGER
Phone: (763) 767-9119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Kris David Johnson, D.D.S.	Dentist - Endodontics	Blaine	AI Deep Dive
DR. Hamid Reza Abedi	Dentist - Endodontics	Blaine	AI Deep Dive
DR. Donna Jean Mattscheck, D.M.D.	Dentist - Endodontics	Blaine	AI Deep Dive

Organizations

Provider Name	Specialty	City
St. Croix Endodontics, P.a.	Dentist - Endodontics	Blaine	AI Deep Dive
Dental Specialists of Minnesota, Pllc	Dentist - Endodontics	Blaine	AI Deep Dive

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