| Midwest Endodontics, P.a. | |
|
6949 Valley Creek Rd #130 Woodbury MN 55125-2253 | |
| (651) 731-1630 | |
| (651) 731-1635 |
| Full Name | Midwest Endodontics, P.a. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6949 Valley Creek Rd, Woodbury, Minnesota |
| Authorized Official Name and Position | William A. Gavin (PREIDENT) |
| Authorized Official Contact | 6517311630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Endodontics, P.a. 6949 Valley Creek Rd #130 Woodbury MN 55125 Ph: (651) 731-1630 | Midwest Endodontics, P.a. 6949 Valley Creek Rd #130 Woodbury MN 55125-2253 Ph: (651) 731-1630 |
| NPI Number | 1205957776 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205957776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 7305 (Minnesota) | Primary |
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