Organization
CENTRAL MINNESOTA 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
570 HUMBOLDT DR STE 102, BIG LAKE, MN 55309-4844
(320) 253-0272
(320) 251-2661
Mailing address
1900 CENTRACARE CIR STE 350, SAINT CLOUD, MN 56303-5000
(320) 253-0272
(320) 251-2661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7765
MN
1223P0221X
Pediatric Dentistry
Primary
D11073
MN
1223P0221X
Pediatric Dentistry
D11344
MN
1223P0221X
Pediatric Dentistry
D12885
MN
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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