Organization
ST. CROIX VALLEY DENTAL
Active
Other names
Oneka Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY J LEMIRE (MANAGER)
(651) 439-2600
Entity
Organization
Contact information
Practice address
14643 MERCANTILE DR N, SUITE 113, HUGO, MN 55038-4552
(651) 407-0999
Mailing address
14643 MERCANTILE DR N, SUITE 113, HUGO, MN 55038-4552
(651) 407-0999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11236
MN
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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