The Dental Specialist Woodbury | |
10150 City Walk Dr Apt C Woodbury MN 55129-9270 | |
(651) 501-0018 | |
Not Available |
Full Name | The Dental Specialist Woodbury |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 10150 City Walk Dr Apt C, Woodbury, Minnesota |
Authorized Official Name and Position | Shannon Hesse (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 6517462815 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Dental Specialist Woodbury 2200 County Road C W Suite 2210 Roseville MN 55113-2550 Ph: (651) 633-0500 | The Dental Specialist Woodbury 10150 City Walk Dr Apt C Woodbury MN 55129-9270 Ph: (651) 501-0018 |
NPI Number | 1902235245 |
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Provider Enumeration Date | 11/07/2013 |
Last Update Date | 10/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902235245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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