| Dr. Stephanie Gruenes Center For Cosmetic Dentistry Pa | |
|
13734 First Street Becker MN 55308 | |
| (763) 262-7645 | |
| (763) 262-2345 |
| Full Name | Dr. Stephanie Gruenes Center For Cosmetic Dentistry Pa |
|---|---|
| Speciality | Dentist |
| Location | 13734 First Street, Becker, Minnesota |
| Authorized Official Name and Position | Stephanie L Gruenes (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7632627645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Stephanie Gruenes Center For Cosmetic Dentistry Pa P.o. Box 38 13734 First Street Becker MN 55308 Ph: (763) 262-7645 | Dr. Stephanie Gruenes Center For Cosmetic Dentistry Pa 13734 First Street Becker MN 55308 Ph: (763) 262-7645 |
| NPI Number | 1518171081 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 03/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518171081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11331 (Minnesota) | Primary |