Organization
STONE GATE DENTAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL COLLIER DDS (OWNER)
(320) 250-5540
Entity
Organization
Contact information
Practice address
1521 NORTHWAY DR STE 108, SAINT CLOUD, MN 56303-4490
(320) 250-5540
Mailing address
1521 NORTHWAY DR STE 108, SAINT CLOUD, MN 56303-4490
(320) 250-5540
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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