Organization
ST. CROIX VALLEY DENTAL, PLLC
Active
Organization
ST. CROIX VALLEY DENTAL, PLLC
Active
Other names
Northern Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS S WOLFF D.D.S (OWNER)
(651) 351-7777
Entity
Organization
Contact information
Practice address
13961 60TH ST N, STILLWATER, MN 55082-1053
(651) 351-7777
(651) 351-5161
Mailing address
13961 60TH ST N, PO BOX 270, STILLWATER, MN 55082-1053
(651) 351-7777
(651) 351-5161
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D10622
MN
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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