Organization
DEMERS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL S STADEM DDS (PRESIDENT/DENTIST)
(218) 773-7474
Entity
Organization
Contact information
Practice address
706 DEMERS AVE, EAST GRAND FORKS, MN 56721-1842
(218) 773-7474
(218) 773-8859
Mailing address
706 DEMERS AVE, EAST GRAND FORKS, MN 56721-1842
(218) 773-7474
(218) 773-8859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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