| Northeast Dental Wellness, Pa | |
|
3201 Johnson St. Ne Minneapolis MN 55418 | |
| (612) 781-6568 | |
| (612) 781-2447 |
| Full Name | Northeast Dental Wellness, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3201 Johnson St. Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Woojin Kwon (OWNER/DENTIST) |
| Authorized Official Contact | 6127816568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Dental Wellness, Pa 3201 Johnson St. Ne Minneapolis MN 55418 Ph: (612) 781-6568 | Northeast Dental Wellness, Pa 3201 Johnson St. Ne Minneapolis MN 55418 Ph: (612) 781-6568 |
| NPI Number | 1831119437 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831119437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11714 (Minnesota) | Primary |
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