Organization
ST. CROIX ENDODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J STEC (OWNER)
(763) 767-9119
Entity
Organization
Contact information
Practice address
11945 CENTRAL AVE NE, BLAINE, MN 55434-3911
(763) 767-9119
(763) 755-3797
Mailing address
25 LAKE ST N, STE 110, FOREST LAKE, MN 55025-2535
(651) 464-7388
(651) 982-6236
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
9920
MN
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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