| NPI | 1740259464 |
|---|---|
| Doing Business As | ST CROIX VALLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS S WOLFF Owner 651-439-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D11236) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN 7898) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2012-02-22 |