Organization
ST CROIX VALLEY DENTAL PLLC
Active
Other names
Lake Elmo Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS STEVEN WOLFF DDS (OWNER DENTIST)
(651) 777-0210
Entity
Organization
Contact information
Practice address
11240 STILLWATER BLVD N, LAKE ELMO, MN 55128
(651) 777-0210
(651) 777-0320
Mailing address
11240 STILLWATER BLVD N, LAKE ELMO, MN 55042
(651) 777-0210
(651) 777-0320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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