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2224 Hennepin Ave Minneapolis MN 55405-2737 | |
| (651) 351-7777 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2224 Hennepin Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Douglas Steven Wolff (DENTIST) |
| Authorized Official Contact | 6513517777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1041 Grand Ave # 531 Saint Paul MN 55105-3002 Ph: (651) 351-7777 | 2224 Hennepin Ave Minneapolis MN 55405-2737 Ph: (651) 351-7777 |
| NPI Number | 1356854442 |
|---|---|
| Provider Enumeration Date | 11/10/2017 |
| Last Update Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356854442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D11236 (Minnesota) | Primary |
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