Individual
STEPHANIE MOTIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 CENTRAL AVE, OSSEO, MN 55369-1241
(763) 425-3023
Mailing address
512 66TH AVE N, BROOKLYN CENTER, MN 55430-1643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13850
MN
Other
Enumeration date
06/04/2017
Last updated
06/04/2017
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