Organization
CENTRAL MINNESOTA ENDODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE E WURM D.D.S. (OWNER)
(320) 656-1456
Entity
Organization
Contact information
Practice address
1900 KRUCHTEN CT S, SUITE 100, SARTELL, MN 56377-4730
(320) 656-1456
(320) 656-0195
Mailing address
1900 KRUCHTEN CT S, SUITE 100, SARTELL, MN 56377-4730
(320) 656-1456
(320) 656-0195
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
11035
MN
1223E0200X
Endodontics
11790
MN
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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