Individual
STEFANIE FAYE VOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDT
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
DT102
MN
125K00000X
Advanced Practice Dental Therapist
Primary
DT102
MN
Other
Enumeration date
05/01/2018
Last updated
04/24/2024
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