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Organization

BLUESTEM DENTAL PLLC

Active
Other names
Bluestem Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY JAMES HILLEREN DDS (ORGANIZING MEMBER)
(320) 842-4191
Entity
Organization

Contact information

Practice address
210 13TH ST S, BENSON, MN 56215-1821
(320) 842-4191
(320) 843-4208
Mailing address
33494 290TH AVE, BENSON, MN 56215-3102
(320) 444-4033
(320) 843-4208

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/12/2019
Last updated
08/12/2019
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