Individual
DR. IVAN P STREIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13998 MAPLE KNOLL WAY, MAPLE GROVE, MN 55369-7004
(763) 420-3537
(763) 420-3173
Mailing address
13998 MAPLE KNOLL WAY, MAPLE GROVE, MN 55369-7004
(763) 420-3537
(763) 420-3173
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10207
MN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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