| NPI | 1013128685 |
|---|---|
| Doing Business As | ST. CROIX TRIBAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMBER HEINZ Health Director 715-349-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2024-10-15 |