Organization
PEPIN VALLEY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BROWN D.D.S. (PRESIDENT)
(651) 345-3023
Entity
Organization
Contact information
Practice address
1350 N 7TH ST, LAKE CITY, MN 55041-1251
(651) 345-3023
(651) 345-3064
Mailing address
1350 N 7TH ST, LAKE CITY, MN 55041-1251
(651) 345-3023
(651) 345-3064
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9591
MN
Other
Enumeration date
06/19/2008
Last updated
01/04/2011
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