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
507 N NOKOMIS ST STE C, ALEXANDRIA, MN 56308-2353
(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
1223P0221X
Pediatric Dentistry
Primary
D11073
MN
1223P0221X
Pediatric Dentistry
D11344
MN
1223P0221X
Pediatric Dentistry
D7765
MN
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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