Organization
BLUESTONE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY CHRISTINE HUSTAD DAVIDSON DDS (OWNER)
(218) 606-1040
Entity
Organization
Contact information
Practice address
906 WOODLAND AVENUE, DULUTH, MN 55812-1113
(218) 606-1040
Mailing address
906 WOODLAND AVENUE, DULUTH, MN 55812-1113
(218) 606-1040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12242
MN
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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