Individual
DR. STACEY DARLENE YAHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
120 W MAIN ST, CALEDONIA, MN 55921
(507) 725-5254
(507) 725-5406
Mailing address
BOX 72, 120 W MAIN ST, CALEDONIA, MN 55921
(507) 725-5254
(507) 725-5406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11264
MN
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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