Organization
ST. CROIX ENDODONTICS
Active
Other names
St. Croix Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE KLEIN (BUSSINESS OFFICE MANAGER)
(763) 767-9119
Entity
Organization
Contact information
Practice address
11855 ULYSSES ST NE STE 260, BLAINE, MN 55434-4182
(763) 767-9119
Mailing address
11855 ULYSSES ST NE STE 260, BLAINE, MN 55434-4182
(763) 767-9119
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
11/27/2020
Last updated
11/30/2020
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