Organization
ST. CROIX VALLEY DENTAL, PLLC
Active
Parent organization
ST. CROIX VALLEY DENTAL, PLLC
Other names
DBA/ Carmichael Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. CROIX VALLEY DENTAL, PLLC
Authorized official
DOUGLAS S. WOLFF D.D.S. (PWNER)
(651) 439-2600
Entity
Organization
Contact information
Practice address
1003 PEARSON DR., HUDSON, WI 54016
(715) 377-9966
(715) 377-9933
Mailing address
13961 60TH ST NORTH, STILLWATER, MN 55082
(651) 439-2600
(651) 439-2600
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
WI
Other
Enumeration date
01/14/2008
Last updated
07/21/2022
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