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7150 Valley Creek Plz Ste 230 Woodbury MN 55125-2271 | |
| (651) 217-8296 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 7150 Valley Creek Plz Ste 230, Woodbury, Minnesota |
| Authorized Official Name and Position | Ngoc Waite (OWNER/DDS) |
| Authorized Official Contact | 6512178296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 920050 Dallas TX 75392-0050 Ph: () - | 7150 Valley Creek Plz Ste 230 Woodbury MN 55125-2271 Ph: (651) 217-8296 |
| NPI Number | 1972165678 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972165678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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