| Paul Boettner Dds Pllc | |
|
1485 County Road 101 N Plymouth MN 55447-3053 | |
| (763) 476-6774 | |
| Not Available |
| Full Name | Paul Boettner Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1485 County Road 101 N, Plymouth, Minnesota |
| Authorized Official Name and Position | Paul Boettner (OWNER) |
| Authorized Official Contact | 7634766774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Boettner Dds Pllc 1485 County Road 101 N Plymouth MN 55447-3053 Ph: () - | Paul Boettner Dds Pllc 1485 County Road 101 N Plymouth MN 55447-3053 Ph: (763) 476-6774 |
| NPI Number | 1467870303 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467870303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12160 (Minnesota) | Primary |
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