Organization
JUST KIDS DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY ANDERSON RDH (EXECUTIVE DIRECTOR)
(218) 206-4328
Entity
Organization
Contact information
Practice address
325 11TH AVE, TWO HARBORS, MN 55616-1300
(218) 206-4328
(218) 834-5533
Mailing address
PO BOX 146, TWO HARBORS, MN 55616-0146
(218) 206-4328
(218) 834-5533
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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