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8375 City Centre Dr Woodbury MN 55125-3324 | |
| (651) 739-8573 | |
| (651) 739-5517 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8375 City Centre Dr, Woodbury, Minnesota |
| Authorized Official Name and Position | Christopher M Chmiel (DENTIST) |
| Authorized Official Contact | 6517398573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8375 City Centre Dr Woodbury MN 55125-3324 Ph: (651) 739-8573 | 8375 City Centre Dr Woodbury MN 55125-3324 Ph: (651) 739-8573 |
| NPI Number | 1205261195 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 09/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205261195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11040 (Minnesota) | Primary |
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