Organization
DR. STEPHANIE GRUENES CENTER FOR COSMETIC DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE L GRUENES D.D.S. (CHEIF EXECUTIVE OFFICER)
(763) 262-7645
Entity
Organization
Contact information
Practice address
13734 FIRST STREET, BECKER, MN 55308
(763) 262-7645
(763) 262-2345
Mailing address
P.O. BOX 38, 13734 FIRST STREET, BECKER, MN 55308
(763) 262-7645
(763) 262-2345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11331
MN
Other
Enumeration date
05/10/2007
Last updated
03/11/2010
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