Individual
DR. STEPHEN JOSEPH TERVOLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3624 E LAKE ST, MINNEAPOLIS, MN 55406-2152
(612) 729-2361
(612) 729-2362
Mailing address
1172 AQUARIUS LN, EAGAN, MN 55123-1824
(651) 683-9497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8686
MN
Other
Enumeration date
03/30/2006
Last updated
07/08/2007
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