Organization
REJUV SKIN & LASER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ALLEN SELCHOW DDS (OWNER)
(651) 287-3080
Entity
Organization
Contact information
Practice address
1625 LENA CT STE 300, EAGAN, MN 55122-2938
(651) 287-3080
(651) 905-3789
Mailing address
1625 LENA CT STE 300, EAGAN, MN 55122-2938
(651) 287-3080
(651) 905-3789
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D9967
MN
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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