Stone Creek Dental, P.a. | |
7935 Stone Creek Dr Ste. 150 Chanhassen MN 55317-4610 | |
(952) 937-2839 | |
(952) 401-3307 |
Full Name | Stone Creek Dental, P.a. |
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Speciality | Dentist |
Location | 7935 Stone Creek Dr, Chanhassen, Minnesota |
Authorized Official Name and Position | Tiffany Maja Axel-weyandt (OWNER) |
Authorized Official Contact | 9529372839 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stone Creek Dental, P.a. 7935 Stone Creek Dr Ste. 150 Chanhassen MN 55317-4610 Ph: (952) 937-2839 | Stone Creek Dental, P.a. 7935 Stone Creek Dr Ste. 150 Chanhassen MN 55317-4610 Ph: (952) 937-2839 |
NPI Number | 1508080532 |
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Provider Enumeration Date | 04/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508080532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D11335 (Minnesota) | Primary |
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