| Applewood Family Dental | |
|
1740 Weir Dr Woodbury MN 55125-2282 | |
| (651) 738-2125 | |
| Not Available |
| Full Name | Applewood Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1740 Weir Dr, Woodbury, Minnesota |
| Authorized Official Name and Position | Mary Reck (DENTAL ASSISTANT) |
| Authorized Official Contact | 6517382125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applewood Family Dental 1740 Weir Dr Woodbury MN 55125-2282 Ph: (651) 738-2125 | Applewood Family Dental 1740 Weir Dr Woodbury MN 55125-2282 Ph: (651) 738-2125 |
| NPI Number | 1467877001 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 02/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467877001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11707 (Minnesota) | Primary |
| 122300000X | Dentist | 13264 (Minnesota) | Secondary |
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