Organization
WLD IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LYNN MINER DDS (OWNER/PRESIDENT)
(612) 387-5009
Entity
Organization
Contact information
Practice address
130 PIONEER TRL, CHASKA, MN 55318-1167
(952) 361-3740
Mailing address
1635 SUNNYBROOK CIR, MINNETRISTA, MN 55364-1276
(612) 387-5009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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