NPI 1265618862

St. Croix Valley Dental, PLLC

Organisation Point of Service Hudson, WI

Practice location

Address: 1003 Pearson Dr., Hudson, WI 54016
Phone: (715) 377-9966
Fax: (715) 377-9933
Mailing address: 13961 60th St North, Stillwater, MN 55082

Authorised official

Name: Douglas S. Wolff
Title: Pwner
Phone: (651) 439-2600

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1265618862
Entity type: Organization
NPI issued: 14 Jan 2008
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.