Organization
CENTRAL MN PEDIATRIC DENTISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W. STEIL DDS (PARTNER/OWNER)
(320) 253-0272
Entity
Organization
Contact information
Practice address
1903 S 6TH ST, BRAINERD, MN 56401-4599
(320) 253-0272
(320) 251-2661
Mailing address
1900 CENTRACARE CIR, SUITE 0350, SAINT CLOUD, MN 56303-5000
(320) 253-0272
(320) 251-2661
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D11073
MN
1223P0221X
Pediatric Dentistry
D11344
MN
1223P0221X
Pediatric Dentistry
D12885
MN
1223P0221X
Pediatric Dentistry
D7765
MN
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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