Organization
EDLUND DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MICHAEL EDLUND D.D.S. (CHIEF MANAGER)
(651) 645-0449
Entity
Organization
Contact information
Practice address
1021 BANDANA BLVD E, SUITE #105, SAINT PAUL, MN 55108-5113
(651) 645-0449
Mailing address
1021 BANDANA BLVD E, SUITE #105, SAINT PAUL, MN 55108-5113
(651) 645-0449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12097
MN
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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