Organization
ERIKA M THEISEN DDS PLLC
Active
Other names
THEISEN DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIKA MARIE THEISEN DDS (OWNER)
(320) 252-7806
Entity
Organization
Contact information
Practice address
22 2ND AVE S, SAUK RAPIDS, MN 56379-1408
(320) 252-7806
(320) 252-9044
Mailing address
22 2ND AVE S, SAUK RAPIDS, MN 56379-1408
(320) 252-7806
(320) 252-9044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12795
MN
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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