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Organization
OAKRIDGE DENTAL CENTER
Active
Organization
OAKRIDGE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (CONTACT OFFICER)
(920) 450-0157
Entity
Organization
Contact information
Practice address
13481 60TH ST N, STILLWATER, MN 55082-1055
(651) 430-9990
(651) 430-3448
Mailing address
13481 60TH ST N, STILLWATER, MN 55082-1055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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