St. Croix Endodontics
NPI #1952709420 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1952709420
- Entity Type
- Organization
- Organization Name
- St. Croix Endodontics
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Dec 15, 2014
- Last Updated
- Nov 23, 2020
Practice Location
- Address
- 25 LAKE ST N
- Address 2
- SUITE 110
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2535
- Phone
- (651) 464-7388
Authorized Official
- Name
- SERENA JEAN PEDERSEN
- Title
- OFFICE MANAGER
- Phone
- (763) 767-9119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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