| Creekview Dental Pa | |
|
2145 Woodlane Dr Suite 104 Woodbury MN 55125-1920 | |
| (651) 738-8204 | |
| Not Available |
| Full Name | Creekview Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 2145 Woodlane Dr, Woodbury, Minnesota |
| Authorized Official Name and Position | John M Haag (PRESIDENT S CORP) |
| Authorized Official Contact | 6517388204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekview Dental Pa 2145 Woodlane Dr Suite 104 Woodbury MN 55125-1920 Ph: (651) 738-8204 | Creekview Dental Pa 2145 Woodlane Dr Suite 104 Woodbury MN 55125-1920 Ph: (651) 738-8204 |
| NPI Number | 1861463465 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 07/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861463465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | MN10688 (Minnesota) | Primary |
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