| NPI | 1629774138 |
|---|---|
| Doing Business As | STILLWATER MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KRISTA JEAN KOEHLER Owner 651-352-4629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |