Organization
STONE CREEK DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY MAJA AXEL-WEYANDT D.D.S. (OWNER)
(952) 937-2839
Entity
Organization
Contact information
Practice address
7935 STONE CREEK DR, STE. 150, CHANHASSEN, MN 55317-4610
(952) 937-2839
(952) 401-3307
Mailing address
7935 STONE CREEK DR, STE. 150, CHANHASSEN, MN 55317-4610
(952) 937-2839
(952) 401-3307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11335
MN
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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